Carrie L. Brazzale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4347012 Issued in WI

Practice address

601 Buffalo St
Manitowoc, WI 54220-6817

Phone

(920) 684-8765

Fax

(920) 684-2094

NPI assigned

Nov 13, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Apple Clinic SC

  • Chiropractor
  • Manitowoc, WI
  • NPI 1275566606
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1427238963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 BUFFALO ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206817",
            "telephone_number": "920-684-8765",
            "fax_number": "920-684-2094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BUFFALO ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206817",
            "telephone_number": "920-684-8765",
            "fax_number": "920-684-2094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAZZALE",
        "first_name": "CARRIE",
        "middle_name": "L.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4347012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jane Bouc, NP-C
• Stacy Bouplon, LPN
• Maren Bourelle
• Derek R Bown, DC
• Hailey Elizabeth Boyer, SLP
• Elisabeth Breaker, LAT, ATC, PES
• Blake Bredeson, DC
• Emilie Brienen, M.S. CCC-SLP
• Heather Marie Bruckschen, LPC, CSAC
• Brittany Nicole Bryan

• Chiropractor in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.