Active NPI
Brian Carl Hurtgen, DC
- Sports Physician Chiropractor
- Chippewa Falls, WI
National Provider Identifier
1295816700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1667-012
- Practice address
- 235 W Prairie View Rd
Suite 2
Chippewa Falls, WI 54729-3639 - Phone
- (715) 720-9097
- Fax
- (715) 720-6089
- NPI assigned
- Oct 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1667-012 | WI | Primary |
Addresses
Primary practice location
235 W Prairie View Rd
Suite 2
Chippewa Falls, WI 54729-3639
Mailing address
3324 Hoover Ave
Altoona, WI 54720-1028
Phone (715) 836-7648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38768500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1667-012 | WI | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Falls Chiropractic, S.C. | Past | Accepting new patients | |
| Flambeau Chiropractic Center LTD | Past | Accepting new patients |
Organizations & group practices 2
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
- Chippewa Falls, WI
- NPI 1306970512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295816700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 HOOVER AVE",
"city": "ALTOONA",
"state": "WI",
"postal_code": "547201028",
"telephone_number": "715-836-7648",
"fax_number": "715-720-6089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 W PRAIRIE VIEW RD",
"address_2": "SUITE 2",
"city": "CHIPPEWA FALLS",
"state": "WI",
"postal_code": "547293639",
"telephone_number": "715-720-9097",
"fax_number": "715-720-6089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HURTGEN",
"first_name": "BRIAN",
"middle_name": "CARL",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "1667-012",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38768500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chippewa Falls, WI
- Lori Holcomb
- Peter W Holm, MD
- Ryan L Holzwarth, MD
- HSHS Wisconsin Medical Group Inc (Family Health Associates)
- HSHS Wisconsin Medical Group Inc (Family Health Associates)
- Kimberly Ann Hutzler, RPH
- Ihc-St. Josephs Emergency Physicians, LLC
- Ihc-Wound Care Services LLC
- Independent Surgery Center LLC
- Integral Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.