Individual provider Active NPI

Kurt Patrick Huemmer, D.C.

  • Chiropractor
  • Milwaukee, WI
National Provider Identifier
1659302867
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3303 Issued in WI
Practice address
2060 N Humboldt Blvd
Milwaukee, WI 53212-3504
Phone
(414) 265-5606
Fax
(414) 265-5649
NPI assigned
Jul 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 3303 WI Primary

Addresses

Primary practice location

2060 N Humboldt Blvd
Milwaukee, WI 53212-3504

Mailing address

2060 N Humboldt Blvd
Milwaukee, WI 53212-3504
Phone (414) 265-5606

Other identifiers 1

IdentifierTypeStateIssuer
38903100MedicaidWI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000530 WI Practitioner - Chiropractic 0143256966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brugger Chiropractic S.C.Group PAC ID 0345247128, 4 clinicians

Practice addresses (Care Compare)

1624 Clarence CT
West Bend, WI 53095-8533
Phone (262) 334-4847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3303WIMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Brugger Chiropractic S.C. Chiropractor CurrentSince Jul 26, 2023 Accepting new patients
Invivo Wellness Restoration, LLC PastSince Jul 1, 2006 Accepting new patients

Locations

1624 Clarence Ct
West Bend, WI 53095
Phone (262) 334-4847

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659302867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 N HUMBOLDT BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123504",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 N HUMBOLDT BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532123504",
            "telephone_number": "414-265-5606",
            "fax_number": "414-265-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEMMER",
        "first_name": "KURT",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38903100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

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