Individual provider Active NPI

Taylor Jerome Poehls, D.C.

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1356584965
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4498-012 Issued in WI
Practice address
1905 N Calhoun Rd Ste 115
Brookfield, WI 53005
Phone
(262) 782-2273
Fax
(262) 257-9966
NPI assigned
Apr 13, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4498-012 WI Primary

Addresses

Primary practice location

1905 N Calhoun Rd Ste 115
Brookfield, WI 53005

Mailing address

1905 N Calhoun Rd Ste 115
Brookfield, WI 53005-5036
Phone (262) 782-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090428000466 WI Practitioner - Chiropractic 0749338994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chiropractic Company - Brookfield LTDGroup PAC ID 2264602168, 4 clinicians

Practice addresses (Care Compare)

1905 N Calhoun Rd
Suite 115
Brookfield, WI 53005-5036
Phone (262) 782-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Company - Brookfield LTD Chiropractor CurrentSince Mar 1, 2011 Accepting new patients
Chiropractic Company - 23 LTD Chiropractor PastSince Jul 21, 2008 Accepting new patients

Locations

1905 N Calhoun Rd
Ste 115
Brookfield, WI 53005
Phone (262) 782-2273

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.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1356584965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 N CALHOUN RD STE 115",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055036",
            "telephone_number": "262-782-2273",
            "fax_number": "262-257-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 N CALHOUN RD STE 115",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "53005",
            "telephone_number": "262-782-2273",
            "fax_number": "262-257-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POEHLS",
        "first_name": "TAYLOR",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-13",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4498-012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.