Active NPI
Anthony J Miller, D.C.
- Chiropractor
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4475-012
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4475 | WI | MD | Chiropractor |
| 4475-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Town Square Medical S.C. | Current | Accepting new patients | |
| Ajm Chiropractic S.C. | Chiropractor | Current | Accepting new patients |
| Active Medical Equipment LLC | Past | 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.
-
- Chiropractor
- Brookfield, WI
- NPI 1275768400
-
- Multi-Specialty Clinic/Center
- Brookfield, WI
- NPI 1427830835
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1861016404
-
- Chiropractor
- Sussex, WI
- NPI 1356485437
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.