Individual provider Active NPI

Bradley L Kees, DC

  • Chiropractor
  • Fort Atkinson, WI
National Provider Identifier
1598861684
Registry record updated Dec 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3603-012 Issued in WI
Practice address
113 Sherman Ave W
Fort Atkinson, WI 53538-1732
Phone
(920) 563-2281
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3603-012 WI Primary

Addresses

Primary practice location

113 Sherman Ave W
Fort Atkinson, WI 53538-1732

Mailing address

601 S 32ND Ave
Wausau, WI 54401-3958
Phone (715) 848-2526

Other identifiers 2

IdentifierTypeStateIssuer
38920000MedicaidWI
38993900OtherWIMEDICAID GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000153 WI Practitioner - Chiropractic 9335280510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

113 Sherman Ave W
Fort Atkinson, WI 53538-1732
Phone (920) 563-2281

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3603-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kees Chiropractic LLC Chiropractor CurrentSince Aug 7, 2015 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor CurrentSince Jan 3, 2000 Accepting new patients
Poland Chiropractic Inc Chiropractor Current Accepting new patients

Locations

113 Sherman Ave W
Fort Atkinson, WI 53538
Phone (920) 563-2281

601 S 32nd Ave
Wausau, WI 54401
Phone (715) 848-1741

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1598861684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S 32ND AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013958",
            "telephone_number": "715-848-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SHERMAN AVE W",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381732",
            "telephone_number": "920-563-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEES",
        "first_name": "BRADLEY",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3603-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38920000",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38993900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.