Active NPI
James P Brugger, D.C.
- Chiropractor
- West Bend, WI
National Provider Identifier
1225020233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2674-012
- Practice address
- 1624 Clarence CT
West Bend, WI 53095-8533 - Phone
- (262) 334-4847
- Fax
- (262) 334-5554
- NPI assigned
- Aug 16, 2005
- Last updated
- Apr 14, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2674-012 | WI | Primary |
Addresses
Primary practice location
1624 Clarence CT
West Bend, WI 53095-8533
Mailing address
1624 Clarence CT
West Bend, WI 53095-8533
Phone (262) 334-4847
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38904700 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2674-012 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302739200000",
"number": "1225020233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1624 CLARENCE CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-334-4847",
"fax_number": "262-334-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 CLARENCE CT",
"city": "WEST BEND",
"state": "WI",
"postal_code": "530958533",
"telephone_number": "262-334-4847",
"fax_number": "262-334-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUGGER",
"first_name": "JAMES",
"middle_name": "P",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2011-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2674-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38904700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Bend, WI
- Amalia A Brouillard, FNP B-C, APNP
- Rebecca L Brown, DC
- Lysette Lucille Brueggeman, DDS
- Brugger Chiropractic S.C. (Woodridge Chiropractic Clinic)
- Garrett J Brugger, D.C.
- Jordan Bree Brunner, LPC
- Erika M Bublitz, M.A., L.P.C.
- Bubon & Associates, Orthodontics, SC
- Christopher Allan Buck, DDS
- John Burfeind, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.