Individual provider Active NPI

Bryce Fischer, DC

  • Chiropractor
  • Manitowoc, WI
National Provider Identifier
1063236743
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6238 Issued in WI
Practice address
1632 N 18TH St
Manitowoc, WI 54220-1858
Phone
(920) 652-0116
Fax
(920) 652-0117
NPI assigned
Nov 11, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6238 WI Primary

Addresses

Primary practice location

1632 N 18TH St
Manitowoc, WI 54220-1858

Mailing address

1632 N 18TH St
Manitowoc, WI 54220-1858
Phone (920) 652-0116

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119002829 WI Practitioner - Chiropractic 0042745622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Family Chiropractic Clinics IncGroup PAC ID 5799751491, 3 clinicians

Practice addresses (Care Compare)

1632 N 18TH St
Suite 1
Manitowoc, WI 54220-1858
Phone (920) 652-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Chiropractic Clinics Inc Chiropractor CurrentSince Nov 11, 2024 Accepting new patients
Advanced Family Chiropractic, S.C. Chiropractor Past Accepting new patients

Locations

1632 N 18th St
#1
Manitowoc, WI 54220
Phone (920) 652-0116

1632 N 18th St
Manitowoc, WI 54220
Phone (920) 652-0116

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": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1063236743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1632 N 18TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201858",
            "telephone_number": "920-652-0116",
            "fax_number": "920-652-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 N 18TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542201858",
            "telephone_number": "920-652-0116",
            "fax_number": "920-652-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISCHER",
        "first_name": "BRYCE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manitowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.