Active NPI
Brandon Ohlrich
- Chiropractor
- Oshkosh, WI
National Provider Identifier
1417665993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6030-12
- Practice address
- 440 N Koeller St Ste a
Oshkosh, WI 54902-4111 - Phone
- (920) 230-2800
- NPI assigned
- Nov 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6030-12 | WI | Primary |
Addresses
Primary practice location
440 N Koeller St Ste a
Oshkosh, WI 54902-4111
Mailing address
115 E 12TH St
Fond Du Lac, WI 54935-5070
Phone (920) 238-7772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6030-12 | WI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668384000000",
"number": "1417665993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 E 12TH ST",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549355070",
"telephone_number": "920-238-7772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 N KOELLER ST STE A",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549024111",
"telephone_number": "920-230-2800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OHLRICH",
"first_name": "BRANDON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-11-14",
"last_updated": "2022-11-14",
"certification_date": "2022-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6030-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.