Brian W Olson & Associates S C

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

3311-012 Issued in WI

Legal business name

BRIAN W OLSON & ASSOCIATES S C

Practice address

301 Superior Ave
Tomah, WI 54660

Phone

(608) 372-5922

Fax

(608) 372-5950

NPI assigned

Feb 13, 2007

Last updated

Mar 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian William OlsonNPI 1548297963

Title

Owner

Phone

(608) 372-5922

Specialties & licenses 2

Addresses

Other names 1

• Olson Chiropractic Other name

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

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.

• Brian William Olson, D.C.

  • Chiropractor
  • Tomah, WI
  • NPI 1548297963
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1316089741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-5922",
            "fax_number": "608-372-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-5922",
            "fax_number": "608-372-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN W OLSON & ASSOCIATES S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-14",
        "status": "A",
        "authorized_official_last_name": "OLSON",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-372-5922"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WI",
            "license": "3311-012",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3311-012",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olson Chiropractic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Olson Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Zachary John Boulden
• Karina Boyea
• Moriah Boyum
• Michael John Brandt, PH.D.
• Caitlin Brennan, LSW
• Devin Zachary Brom, LPMHC
• Carlee Brown, R.N
• Robyn Lynn Brown, NP
• Vada Marie Brown
• Jamie Lee Brownfield

• Preferred Provider Organization in Tomah, WI
• Providers in Tomah, WI by specialty
• Preferred Provider Organization in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.