Active NPI
George William Berres, D.C.,C.C.S.P.
- Sports Physician Chiropractor
- Colfax, WI
National Provider Identifier
1720046428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 2087
- Practice address
- 617 Main St
Colfax, WI 54730-9148 - Phone
- (715) 962-3225
- Fax
- (715) 962-3225
- NPI assigned
- May 2, 2006
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 2087 | WI | Primary |
Addresses
Primary practice location
617 Main St
Colfax, WI 54730-9148
Mailing address
PO Box 265
617 Main Street
Colfax, WI 54730-0265
Phone (715) 962-3225
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38793900 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060215000569 | WI | Practitioner - Chiropractic | 1951316744 | Practice locations: Colfax, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1985
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
617 Main St
Colfax, WI 54730-9148
Phone (715) 962-3225
PO Box
Suite 265
Colfax, WI 54730-0265
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2087 | WI | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1720046428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265",
"address_2": "617 MAIN STREET",
"city": "COLFAX",
"state": "WI",
"postal_code": "547300265",
"telephone_number": "715-962-3225",
"fax_number": "715-962-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 MAIN ST",
"city": "COLFAX",
"state": "WI",
"postal_code": "547309148",
"telephone_number": "715-962-3225",
"fax_number": "715-962-3225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRES",
"first_name": "GEORGE",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.,C.C.S.P.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "WI",
"license": "2087",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38793900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colfax, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.