Bret Zachary Johnson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4292-012 Issued in WI

Practice address

195 East 14TH St
Fond Du Lac, WI 54936-1451

Phone

(920) 960-5349

NPI assigned

Feb 20, 2007

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2006

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnson Chiropractic Health Center, SC

  • Chiropractor
  • Fond Du Lac, WI
  • NPI 1346567492
  Medicare reassignment NPD Authorized official
• Johnson Chiropractic Health Service

  • Health Service Clinic/Center
  • Fond Du Lac, WI
  • NPI 1558547026

  Chiropractor

  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346385499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 14TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549355976",
            "telephone_number": "920-960-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 EAST 14TH ST",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549361451",
            "telephone_number": "920-960-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRET",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4292-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachin S Jogal, MD
• Amy S Johannes, CSAC
• Johnson Chiropractic Health Center, SC
• Johnson Chiropractic Health Service
• Aaron R Johnson, M.D.
• Julie A Johnson, NP
• Misty L Johnson, MD
• Timothy Johnson, D.C.
• Bobbi Jome
• Amy Marie Jones

• Chiropractor in Fond Du Lac, WI
• Providers in Fond Du Lac, 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 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.