Bradley P Donnermeyer, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3844 012 Issued in WI

Practice address

873 N Casaloma Dr
Appleton, WI 54913-8606

Phone

(920) 734-2400

Fax

(920) 734-2100

NPI assigned

Aug 30, 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 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Allied Health of Wisconsin, SC

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

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1619087533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138606",
            "telephone_number": "920-734-2400",
            "fax_number": "920-734-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138606",
            "telephone_number": "920-734-2400",
            "fax_number": "920-734-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONNERMEYER",
        "first_name": "BRADLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3844 012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38939500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Lynn Doke, RYT 500
• Kari Jean Dollevoet, COTA
• Lori M. Dollevoet, LCSW, LPC, SAP
• Hannah Marie Donahue, PT, DPT
• Donnermeyer Chiropractic L.L. C.
• Jane E. Doolan, MS, LPC
• Morgan R Dopp, DPT
• Sara N Doran, CCC-SLP
• Shae A Doran, D.C., CACCP
• Marialyce Brennan Dorman, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.