Individual provider Active NPI

Jay Frederick Brammeier, DC

  • Chiropractor
  • Durant, IA
National Provider Identifier
1093765711
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
A05311 Issued in IA
Practice address
109 5TH St
Durant, IA 52747-9624
Phone
(563) 785-6336
Fax
(563) 785-6356
NPI assigned
May 11, 2006
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X A05311 IA Primary
Chiropractor 111N00000X 2329 WI

Addresses

Primary practice location

109 5TH St
Durant, IA 52747-9624

Mailing address

109 5TH St
Durant, IA 52747-9624
Phone (563) 785-6336

Other identifiers 1

IdentifierTypeStateIssuer
0175356MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050421000901 IA Practitioner - Chiropractic 6507804374 Practice locations: Durant, IA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

109 5TH St
Durant, IA 52747-9624
Phone (563) 785-6336

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A05311IAMDChiropractor
2329WIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Wathan Chiropractic LLC Chiropractor PastSince Jun 1, 2005 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1093765711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 5TH ST",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527479624",
            "telephone_number": "563-785-6336",
            "fax_number": "563-785-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 5TH ST",
            "city": "DURANT",
            "state": "IA",
            "postal_code": "527479624",
            "telephone_number": "563-785-6336",
            "fax_number": "563-785-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAMMEIER",
        "first_name": "JAY",
        "middle_name": "FREDERICK",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "A05311",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2329",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175356",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.