Bruce Douglas Cook, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2031-012 Issued in WI

Practice address

10971 Clinic Rd
Suring, WI 54174-9741

Phone

(920) 842-2083

Fax

(920) 842-4203

NPI assigned

Oct 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cook Chiropractic Office LLC

  • Preferred Provider Organization
  • Suring, WI
  • NPI 1265799928
  Authorized official Same address or phone

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306926019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 CLINIC RD",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749741",
            "telephone_number": "920-842-2083",
            "fax_number": "920-842-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10971 CLINIC RD",
            "city": "SURING",
            "state": "WI",
            "postal_code": "541749741",
            "telephone_number": "920-842-2083",
            "fax_number": "920-842-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BRUCE",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2031-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine L Berndt, APNP
• Laura Blawat, RN
• Katelyn Clary
• Community Memorial Hospital
• Cook Chiropractic Office LLC
• Janet Lee Glime, RN
• Julia Heckl, RN
• Dawn Christine Janiak, PTA
• Melissa Kamps, RN
• John E Kleczewski, OT

• Chiropractor in Suring, WI
• Providers in Suring, WI by specialty
• Chiropractor in Wisconsin

• 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.
• 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.