Active NPI
Bryan Varichak, DC
- Chiropractor
- Sparta, WI
National Provider Identifier
1457372187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2743-012
- Practice address
- 1020 W Wisconsin St
Sparta, WI 54656-2230 - Phone
- (608) 269-8145
- Fax
- (608) 269-8147
- NPI assigned
- Jul 21, 2006
- 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 | 2743-012 | WI | Primary |
Addresses
Primary practice location
1020 W Wisconsin St
Sparta, WI 54656-2230
Mailing address
PO Box 783
Onalaska, WI 54650-0783
Phone (608) 781-2225
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00600198 | Other | WI | MEDICARE RAILROAD |
| 38860300 | Medicaid | WI |
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 |
|---|---|---|---|
| 2743-012 | WI | MD | Chiropractor |
| 2743 | WI | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Leo J Bronston | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Onalaska, WI
- NPI 1578507331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317686400000",
"number": "1457372187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783",
"city": "ONALASKA",
"state": "WI",
"postal_code": "546500783",
"telephone_number": "608-781-2225",
"fax_number": "608-781-2225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 W WISCONSIN ST",
"city": "SPARTA",
"state": "WI",
"postal_code": "546562230",
"telephone_number": "608-269-8145",
"fax_number": "608-269-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARICHAK",
"first_name": "BRYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-21",
"last_updated": "2011-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2743-012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00600198",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38860300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sparta, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.