Bradley Dale Wildberg, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1600-012 Issued in WI

Practice address

333 N 8TH St
Medford, WI 54451-1515

Phone

(715) 748-2334

NPI assigned

Jul 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MN, WI2 enrollments

Enrollment records 2

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Body Right Chiropractic SCGroup PAC ID 8426568023, 3 clinicians

Southwest Chiropractic LLCGroup PAC ID 9436186863, 2 clinicians

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.

• Southwest Chiropractic. LLC

  • Chiropractor
  • Eden Prairie, MN
  • NPI 1487864906
  Medicare reassignment Care Compare group NPD Authorized official
• Body Right Chiropractic SC

  • Chiropractor
  • Medford, WI
  • NPI 1447057666
  Medicare reassignment Care Compare group NPD
• Wildberg Chiropractic Office SC

  • Chiropractor
  • Medford, WI
  • NPI 1558734251
  Medicare reassignment NPD Authorized official
• Integrated Health of Milwaukee LLC

  • Nutrition Chiropractor
  • Wauwatosa, WI
  • NPI 1174906168
  NPD
• Thorp Family Chiropractic LLC

  • Chiropractor
  • Thorp, WI
  • NPI 1205212156
  NPD (past)
• Elite Chiropractic Clinic LLC

  • Orthopedic Chiropractor
  • Savage, MN
  • NPI 1053500090

  Chiropractor

  NPD (past)
• Fulcrum Health, Inc.

  • Case Management Agency
  • Plymouth, MN
  • NPI 1073664595
  NPD (past)
• Health 1St Chiropractic and Wellness Center, P.C.

  • Chiropractor
  • South St. Paul, MN
  • NPI 1548314792
  NPD (past)
• Physicians Vein Clinics, PC

  • Phlebology Physician
  • Sioux Falls, SD
  • NPI 1720370133
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1528086311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511515",
            "telephone_number": "715-748-2334",
            "fax_number": "715-748-1124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544511515",
            "telephone_number": "715-748-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILDBERG",
        "first_name": "BRADLEY",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1600-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38764400",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38987200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Lee Werner, P.A.-C
• Lori Wernham, DNP, FNP-C
• Cinthia P Wiebusch, LPC
• Shannon Wiegel, BSN RN
• Wildberg Chiropractic Office SC
• Korby J Wipf, MA CCC-SLP
• Anne Marie Wolf, PTA
• Jiho Yang, DMD
• Kevin Kongmeng Yang
• Margaret Susan Young, MD

• All providers in Medford, WI
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.