Individual provider Active NPI

Brian James Markgren, D.C.

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1083793459
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2981-012 Issued in WI
Practice address
824 S. Hastings Way
Eau Claire, WI 54701
Phone
(715) 835-1122
NPI assigned
Nov 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2981-012 WI Primary

Addresses

Primary practice location

824 S. Hastings Way
Eau Claire, WI 54701

Mailing address

824 S. Hastings Way
Eau Claire, WI 54701
Phone (715) 835-1122

Other identifiers 1

IdentifierTypeStateIssuer
38870900MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000713 WI Practitioner - Chiropractic 2860400157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Chiropractic Center, S.C.Group PAC ID 2668402181, 5 clinicians

Practice addresses (Care Compare)

3420 Mall Dr
Suite 1
Eau Claire, WI 54701-8147
Phone (715) 832-3771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2981-012WIMDChiropractor
2981WIMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J Court, Inc Chiropractor CurrentSince Sep 27, 2015 Accepting new patients
Gateway Chiropractic Center, S.C. Chiropractor CurrentSince Jan 11, 2016 Accepting new patients

Locations

3420 Mall Dr
Ste 1
Eau Claire, WI 54701
Phone (715) 832-3771

824 S Hastings Way
Eau Claire, WI 54701
Phone (715) 514-1168

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": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1083793459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 S. HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S. HASTINGS WAY",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKGREN",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-04",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2981-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38870900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.