Bradley T Zinkel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4766-12 Issued in WI

Practice address

312 E North St
De Forest, WI 53532-1258

Phone

(608) 846-3333

Fax

(608) 846-3032

NPI assigned

Jul 19, 2011

Last updated

Jul 19, 2011By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bakke Chiropractic Clinic SCGroup PAC ID 6002864501, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bakke Chiropractic Clinic SC

  • Chiropractor
  • Deforest, WI
  • NPI 1306915079
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311033600000",
    "number": "1699063024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 E NORTH ST",
            "city": "DE FOREST",
            "state": "WI",
            "postal_code": "535321258",
            "telephone_number": "608-846-3333",
            "fax_number": "608-846-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 E NORTH ST",
            "city": "DE FOREST",
            "state": "WI",
            "postal_code": "535321258",
            "telephone_number": "608-846-3333",
            "fax_number": "608-846-3032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINKEL",
        "first_name": "BRADLEY",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4766-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin H. Waszczyk, D.D.S.
• Morgan Wochinski
• Jennifer Lynn Wyrick
• Shannon Elizabeth Young
• Laura Ziegler, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.