Mark E Brickley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3357-012 Issued in WI

Practice address

202 E Upham St
Marshfield, WI 54449-1543

Phone

(715) 384-9050

NPI assigned

Sep 15, 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 3

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dragt Chiropractic LLCGroup PAC ID 8123256278, 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.

• Dragt Chiropractic LLC

  • Chiropractor
  • Marshfield, WI
  • NPI 1710314604
  Medicare reassignment Care Compare group NPD
• Allied Health of Wisconsin, SC

  dba Allied Health Chiropractic Centers

  • Chiropractor
  • Wausau, WI
  • NPI 1487605051
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1619073095",
    "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": "202 E UPHAM ST",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544491543",
            "telephone_number": "715-384-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRICKLEY",
        "first_name": "MARK",
        "middle_name": "E",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3357-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CH1675",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38896200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "46586",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Brase, DDS
• Stacy J. Braun, PHD
• Rachel Rebecca Bredl-Hryndej, LMT, NCTM
• Jenna Jo Brehm, FNP
• Joshua M. Brettingen, CRNA
• Brideway Home Health
• Jacob Briese, DDS
• Dean Brix, PT
• Jaclynn Brock, LMFT
• Tracy Brock, APRN

• Chiropractor in Marshfield, WI
• Providers in Marshfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.