Individual provider Active NPI

Brandon Swantz, D.C.

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1063235661
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6239-12 Issued in WI
Practice address
11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone
(414) 354-5377
Fax
(414) 354-0523
NPI assigned
Nov 4, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6239-12 WI Primary

Addresses

Primary practice location

11129 N Wauwatosa Rd
Mequon, WI 53097-3431

Mailing address

11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204003941 WI Practitioner - Chiropractic 8123554821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Brown Deer LTDGroup PAC ID 8628255718, 4 clinicians

Practice addresses (Care Compare)

11129 N Wauwatosa Rd
Mequon, WI 53097-3431
Phone (414) 354-5377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6239-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Anderson Chiropractic Office Inc Chiropractor CurrentSince Nov 26, 2024 Accepting new patients

Locations

733 N Pine St
Burlington, WI 53105
Phone (262) 763-7373

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1063235661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11129 N WAUWATOSA RD",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530973431",
            "telephone_number": "414-354-5377",
            "fax_number": "414-354-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWANTZ",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6239-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.