Individual provider Active NPI

Peter Gregory Geary, D.C.

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1710203997
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4610-12 Issued in WI
Practice address
16655 W Wisconsin Ave Ste 106B
Brookfield, WI 53005-5718
Phone
(262) 293-6871
NPI assigned
Apr 13, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4610-12 WI Primary

Addresses

Primary practice location

16655 W Wisconsin Ave Ste 106B
Brookfield, WI 53005-5718

Mailing address

16655 W Wisconsin Ave Ste 106B
Brookfield, WI 53005-5718
Phone (262) 293-6871

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220526001872 WI Practitioner - Chiropractic 4587042965 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4610-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bluemound Health Services SC Chiropractor CurrentSince May 1, 2022 Accepting new patients

Locations

16655 W Wisconsin Ave
Ste 106B
Brookfield, WI 53005
Phone (262) 293-6871

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1271116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1710203997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16655 W WISCONSIN AVE STE 106B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055718",
            "telephone_number": "262-293-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16655 W WISCONSIN AVE STE 106B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055718",
            "telephone_number": "262-293-6871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "PETER",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-13",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4610-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.