Active NPI
William Joseph Bredael, B.S., D.C.
- Chiropractor
- Luxemburg, WI
National Provider Identifier
1285696302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4087-012
- Practice address
- 195 Center Dr
Suite 102
Luxemburg, WI 54217-8395 - Phone
- (920) 845-5569
- Fax
- (920) 845-5568
- NPI assigned
- Apr 4, 2006
- 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 | 4087-012 | WI | Primary |
Addresses
Primary practice location
195 Center Dr
Suite 102
Luxemburg, WI 54217-8395
Mailing address
195 Center Dr
Suite 102
Luxemburg, WI 54217-8395
Phone (920) 845-5569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38957600 | Medicaid | WI |
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, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
195 Ctr Dr
Suite 102
Luxemburg, WI 54217-8395
Phone (920) 845-5569
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4087-012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bredael Family Chiropractic | Chiropractor | Current | Accepting new patients |
| Luxemburg Family Chiropractic, SC | Chiropractor | Past | Accepting new patients |
| Kirchman Chiropractic, LLC | Chiropractor | Past | Accepting new patients |
Locations
195 Center Dr
Ste 102
Luxemburg, WI 54217
Phone (920) 845-5569
Organizations & group practices 3
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
- Luxemburg, WI
- NPI 1437303575
-
- Chiropractor
- Luxemburg, WI
- NPI 1982772729
-
- Chiropractor
- Luxemburg, WI
- NPI 1548367824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348444800000",
"number": "1285696302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 CENTER DR",
"address_2": "SUITE 102",
"city": "LUXEMBURG",
"state": "WI",
"postal_code": "542178395",
"telephone_number": "920-845-5569",
"fax_number": "920-845-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 CENTER DR",
"address_2": "SUITE 102",
"city": "LUXEMBURG",
"state": "WI",
"postal_code": "542178395",
"telephone_number": "920-845-5569",
"fax_number": "920-845-5568"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREDAEL",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "B.S., D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2012-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4087-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38957600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Luxemburg, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.