Benjamin John Breidenbach

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3676012 Issued in WI

Practice address

1640 George St
Lacrosse, WI 54650

Phone

(608) 781-9880

Fax

(608) 783-5426

NPI assigned

Nov 6, 2006

Last updated

Sep 27, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Breidenbach Family and Sports Chiropractic IncGroup PAC ID 3274614730, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Breidenbach Family and Sports Chiropractic Inc

  • Chiropractor
  • La Crosse, WI
  • NPI 1003987652
  Medicare reassignment Care Compare group NPD
• Back to Health Chiropractic LLC

  • Chiropractor
  • La Crosse, WI
  • NPI 1912107798
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1245309327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5498 HWY 35",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-779-5323",
            "fax_number": "608-779-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 GEORGE ST",
            "city": "LACROSSE",
            "state": "WI",
            "postal_code": "54650",
            "telephone_number": "608-781-9880",
            "fax_number": "608-783-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIDENBACH",
        "first_name": "BENJAMIN",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3676012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel D Brauer, PA
• Brave Spaces Counseling and Wellness, LLC
• Hailey Elizabeth Bray
• Samantha Lynne Brecht, PA-C
• Breidenbach Family and Sports Chiropractic Inc
• Jewell Marie Breitengross, BSW
• Emily Marie Bresette, DO
• Landon Bresina, PA
• Alexa Kay Breske
• Stefan Michael Brettfeld, D.O.

• Chiropractor in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.