Organization Active NPI

Bridge Street Chiropractic LLC

  • Chiropractor
  • Chippewa Falls, WI
National Provider Identifier
1558659946
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1499-12 Issued in WI
Legal business name
BRIDGE STREET CHIROPRACTIC LLC
Practice address
502 N Bridge St
Chippewa Falls, WI 54729-2421
Phone
(715) 861-5255
Fax
(715) 861-5275
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. James Kolmer, D.C.
Title
Member
Phone
(715) 861-5255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1499-12 WI Primary

Addresses

Primary practice location

502 N Bridge St
Chippewa Falls, WI 54729-2421

Mailing address

502 N Bridge St
Chippewa Falls, WI 54729-2421
Phone (715) 861-5255

National Provider Directory

National Provider Directory

Locations

502 N Bridge St
Chippewa Falls, WI 54729
Phone (715) 379-6125

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1558659946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292421",
            "telephone_number": "715-861-5255",
            "fax_number": "715-861-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 N BRIDGE ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292421",
            "telephone_number": "715-861-5255",
            "fax_number": "715-861-5275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGE STREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "KOLMER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "715-861-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "1499-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.