Individual provider Active NPI

Brian Michael Grieves, DC

  • Chiropractor
  • Shawano, WI
National Provider Identifier
1588606966
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3738-012 Issued in WI
Practice address
150C County Road B
Shawano, WI 54166-7072
Phone
(715) 524-8722
Fax
(715) 406-4499
NPI assigned
Jun 12, 2006
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3738-012 WI Primary

Addresses

Primary practice location

150C County Road B
Shawano, WI 54166-7072

Mailing address

150C County Road B
Shawano, WI 54166-7072
Phone (715) 524-8722

Other identifiers 1

IdentifierTypeStateIssuer
38934000MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101202001150 WI Practitioner - Chiropractic 8426245432 Reassigns benefits to 1 organization
Practice locations: Keshena, WI; Shawano, WI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 C County Rd B
Shawano, WI 54166-7072
Phone (715) 524-8722

W3275 Wolf River Dr
Keshena, WI 54135-9202
Phone (715) 524-8722

W3275 Wolf River Rd
PO Box 970
Keshena, WI 54135-0970

W3275 Wolf River Rd P O Box
Suite 970
Keshena, WI 54135-0970

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3738-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Grieves Chiropractic CurrentSince Feb 1, 2001 Accepting new patients
Menominee Indian Tribe of Wisconsin CurrentSince Nov 7, 2017 Accepting new patients
Grieves Chiropractic LLC Chiropractor CurrentSince Sep 3, 2025 Accepting new patients

Locations

116 N Main St
Shawano, WI 54166
Phone (715) 524-8722

150C County Road B
Shawano, WI 54166
Phone (715) 524-8722

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1588606966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150C COUNTY ROAD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-524-8722",
            "fax_number": "715-406-4499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150C COUNTY ROAD B",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541667072",
            "telephone_number": "715-524-8722",
            "fax_number": "715-406-4499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIEVES",
        "first_name": "BRIAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3738-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38934000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shawano, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.