Individual provider Active NPI

William Bradley Krueger, D.C.

  • Chiropractor
  • Cedar Rapids, IA
National Provider Identifier
1184603078
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
AO5745 Issued in IA
Practice address
5270 N Park PL NE
Ste. 120
Cedar Rapids, IA 52402-6222
Phone
(319) 826-2924
Fax
(319) 826-2641
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X AO5745 IA Primary

Addresses

Primary practice location

5270 N Park PL NE
Ste. 120
Cedar Rapids, IA 52402-6222

Mailing address

5270 N Park PL NE
Ste. 120
Cedar Rapids, IA 52402-6222
Phone (319) 826-2924

Other identifiers 1

IdentifierTypeStateIssuer
0106229MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AO5745IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bierman Family Chiropractic LLC Chiropractor Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1184603078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 N PARK PL NE",
            "address_2": "STE. 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026222",
            "telephone_number": "319-826-2924",
            "fax_number": "319-826-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 N PARK PL NE",
            "address_2": "STE. 120",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524026222",
            "telephone_number": "319-826-2924",
            "fax_number": "319-826-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "WILLIAM",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "AO5745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0106229",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.