NPIMap

Organization Active NPI

Leo J Bronston

  • Chiropractor
  • Onalaska, WI
National Provider Identifier
1578507331
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
LEO J BRONSTON
Practice address
1202 County Road PH
Suite 100
Onalaska, WI 54650-8439
Phone
(608) 781-2225
Fax
(608) 781-2495
NPI assigned
Jun 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Leo J Bronston, DCNPI 1427077718
Title
Owner
Phone
(608) 781-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1202 County Road PH
Suite 100
Onalaska, WI 54650-8439

Mailing address

PO Box 783
Onalaska, WI 54650-0783
Phone (608) 781-2225

Other identifiers 1

IdentifierTypeStateIssuer
38983400MedicaidWI

Other names 1

  • Bronston Chiropractic Other name

National Provider Directory

National Provider Directory

Locations

1202 County Road PH
Onalaska, WI 54650
Phone (608) 781-2225

1202 County Road PH
Ste 100
Onalaska, WI 54650
Phone (608) 781-2225

1020 W Wisconsin St
Sparta, WI 54656
Phone (608) 269-8145

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1578507331",
    "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": "608-782-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 COUNTY ROAD PH",
            "address_2": "SUITE 100",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508439",
            "telephone_number": "608-781-2225",
            "fax_number": "608-781-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO J BRONSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "BRONSTON",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-781-2225",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38983400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bronston Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bronston Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.