Brett Charles Egelseer, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3445-12 Issued in WI

Practice address

260 Fond Du Lac Ave
Sheboygan Falls, WI 53085-1216

Phone

(920) 467-6281

Fax

(920) 467-6919

NPI assigned

Dec 4, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

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.

• Brett Egelseer

  dba Advanced Spine Center

  • Chiropractor
  • Mequon, WI
  • NPI 1851570725
  NPD (past)
• Potisk Chiropractic Office, S.C.

  • Chiropractor
  • South Milwaukee, WI
  • NPI 1821130675
  NPD (past)
• South Shore Family Chiropractic

  • Chiropractor
  • South Milwaukee, WI
  • NPI 1134458805
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1346318516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 FOND DU LAC AVE",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851216",
            "telephone_number": "920-467-6281",
            "fax_number": "920-467-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 FOND DU LAC AVE",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530851216",
            "telephone_number": "920-467-6281",
            "fax_number": "920-467-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGELSEER",
        "first_name": "BRETT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3445-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38957400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.

Verify at the official NPI Registry.