Organization Active NPI

Brodhead Family Chiropractic LLC

  • Chiropractor
  • Brodhead, WI
National Provider Identifier
1285327130
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRODHEAD FAMILY CHIROPRACTIC LLC
Practice address
1027 1St Center Ave
Brodhead, WI 53520-1421
Phone
(608) 214-5872
NPI assigned
May 29, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Authorized official

Name
Megan Scheurell, DCNPI 1417402678
Title
Owner
Phone
(608) 214-5872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1027 1St Center Ave
Brodhead, WI 53520-1421

Mailing address

N1997 County Road T
Brodhead, WI 53520-9102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230905001309 WI Part B Supplier - Clinic/Group Practice 8921461203 Receives reassigned benefits from 1 practitioner
Practice locations: Brodhead, WI

National Provider Directory

National Provider Directory

Locations

1027 1st Center Ave
Brodhead, WI 53520
Phone (608) 214-5872

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687132800000",
    "number": "1285327130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N1997 COUNTY ROAD T",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535209102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 1ST CENTER AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535201421",
            "telephone_number": "608-214-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRODHEAD FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A",
        "authorized_official_last_name": "SCHEURELL",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-214-5872",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodhead, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.