Active NPI
Brandon Thomas Mondor, DC
- Chiropractor
- Hudson, WI
National Provider Identifier
1689441941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6144-12
- Practice address
- 131 Carmichael Rd
Hudson, WI 54016-8269 - Phone
- (715) 386-7690
- NPI assigned
- Dec 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6144-12 | WI | Primary |
Addresses
Primary practice location
131 Carmichael Rd
Hudson, WI 54016-8269
Mailing address
754 190TH Ave
Somerset, WI 54025-7405
Phone (715) 808-4553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
131 Carmichael Rd
Suite 202
Hudson, WI 54016-8271
Phone (715) 386-7690
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6144-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McCabe Chiropractic and Wellness Center Inc | Chiropractor | Current | Accepting new patients |
| Olien Family Chiropractic LLC | Chiropractor | Past | Accepting new patients |
| Daulton Physical Therapy, LLC | Past | Accepting new patients |
Locations
131 Carmichael Rd
Ste 202
Hudson, WI 54016
Phone (715) 386-7690
706 W 4th St
New Richmond, WI 54017
Phone (715) 246-2390
706 W 4th St
Ste 202
New Richmond, WI 54017
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.
-
- Chiropractor
- Hudson, WI
- NPI 1336336296
-
- Physical Therapist
- Hudson, WI
- NPI 1760806095
-
- Chiropractor
- New Richmond, WI
- NPI 1679618193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1689441941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 190TH AVE",
"city": "SOMERSET",
"state": "WI",
"postal_code": "540257405",
"telephone_number": "715-808-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 CARMICHAEL RD",
"city": "HUDSON",
"state": "WI",
"postal_code": "540168269",
"telephone_number": "715-386-7690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONDOR",
"first_name": "BRANDON",
"middle_name": "THOMAS",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-07",
"certification_date": "2023-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6144-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hudson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.