Eagle Family Chiropractic
Organization Active NPI Chiropractor · Eagle River, WI
NPI 1134645682 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1134645682
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5087 (WI)
- Legal business name
- EAGLE FAMILY CHIROPRACTIC
- Practice address
- 701 N Railroad St
Eagle River, WI 54521-8833 - Phone
- (715) 479-4214
- Fax
- (715) 477-2770
- NPI assigned
- Aug 16, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark James Bugni, DC
- Title
- Chiropractor
- Phone
- (715) 479-4214
Practitioners 1
-
Mark James Bugni, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170916000505 | WI | Part B Supplier - Clinic/Group Practice | 8820362783 |
Receives reassigned benefits from 1 practitioner Practice locations: Eagle River, WI |
National Provider Directory
Locations
701 N Railroad St
Eagle River, WI 54521
Phone (715) 479-4214
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5087 | WI | Yes |
Addresses
Primary practice location
701 N Railroad St
Eagle River, WI 54521-8833
Mailing address
701 N Railroad St
Eagle River, WI 54521-8833
Phone (715) 479-4214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386053452 | Other | WI | CHIROPRACTOR |
| 1386053452 | Other | WI | OTHER INSURANCE |
Other providers in Eagle River, WI
- Draeger Chiropractic Clinic, S.C.
- David Dewaine Draeger
- Carissa Drewa
- James Everett Dunn
- Michele L Dunow
- Eagle River Chiropractic SC
- Florence E Figueroa
- Christopher Stephen Fleming
- Sarah Anne Garrelts
- Amber Lorraine Glick
All providers in Eagle River, WI · Chiropractor in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.