Individual provider Active NPI

Anthony J Miller, D.C.

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1265674741
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4475-012 Issued in WI
Practice address
675 N Barker Rd Ste 100
Brookfield, WI 53045-5937
Phone
(414) 988-5055
Fax
(262) 988-0034
NPI assigned
Mar 31, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4475 WI
Chiropractor 111N00000X 4475-012 WI Primary

Addresses

Primary practice location

675 N Barker Rd Ste 100
Brookfield, WI 53045-5937

Mailing address

675 N Barker Rd Ste 100
Brookfield, WI 53045-5937
Phone (414) 988-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090602000164 WI Practitioner - Chiropractic 2264581859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

675 N Barker Rd
Suite 100
Brookfield, WI 53045-5937
Phone (414) 988-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4475WIMDChiropractor
4475-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Town Square Medical S.C. CurrentSince Feb 1, 2024 Accepting new patients
Ajm Chiropractic S.C. Chiropractor CurrentSince Mar 1, 2014 Accepting new patients
Active Medical Equipment LLC PastSince Feb 15, 2021 Accepting new patients
Peak Care Clinic Chiropractor Past Accepting new patients

Locations

15010 W Greenfield Ave
Brookfield, WI 53005
Phone (262) 754-5500

15010 W Greenfield Ave
Ste 100
Brookfield, WI 53005
Phone (262) 754-5500

675 N Barker Rd
Ste 100
Brookfield, WI 53045
Phone (262) 200-2700

Organizations & group practices 4

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": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1265674741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N BARKER RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455937",
            "telephone_number": "414-988-5055",
            "fax_number": "414-988-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 N BARKER RD STE 100",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455937",
            "telephone_number": "414-988-5055",
            "fax_number": "262-988-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANTHONY",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-31",
        "last_updated": "2023-09-25",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4475",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4475-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.