Brugger Chiropractic S.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2674-012 Issued in WI

Legal business name

BRUGGER CHIROPRACTIC S.C.

Practice address

1624 Clarence CT
West Bend, WI 53095-8533

Phone

(262) 334-4847

Fax

(262) 334-5554

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Garrett J Brugger, D.C.NPI 1003257452

Title

Owner

Phone

(262) 334-4847

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Woodridge Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Garrett J Brugger, D.C.

  • Chiropractor
  • West Bend, WI
  • NPI 1003257452
  Medicare reassignment Care Compare group NPD Authorized official
• Kurt Patrick Huemmer, D.C.

  • Chiropractor
  • Milwaukee, WI
  • NPI 1659302867
  Medicare reassignment Care Compare group NPD
• Zachery Lazar Jacober, D.C.

  • Chiropractor
  • West Bend, WI
  • NPI 1144959891
  Medicare reassignment Care Compare group NPD
• Janelle Riedl, DC

  • Chiropractor
  • West Bend, WI
  • NPI 1861058125
  Medicare reassignment Care Compare group NPD
• Andrew C Stopczynski, DC

  • Chiropractor
  • West Bend, WI
  • NPI 1083774152
  Medicare reassignment NPD
• Travis J Andersen, D.C.

  • Chiropractor
  • West Bend, WI
  • NPI 1801802947
  NPD (past)
• James Mason Pellegrini, DC

  • Chiropractor
  • Milwaukee, WI
  • NPI 1194750174
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1720185796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CLARENCE CT",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958533",
            "telephone_number": "262-334-4847",
            "fax_number": "262-334-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CLARENCE CT",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530958533",
            "telephone_number": "262-334-4847",
            "fax_number": "262-334-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUGGER CHIROPRACTIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "BRUGGER",
        "authorized_official_first_name": "GARRETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-334-4847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2674-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38904700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodridge Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Abbey A Broetzmann, RDH
• Bradley R Brooke, CRNA
• Amalia A Brouillard, FNP B-C, APNP
• Rebecca L Brown, DC
• Lysette Lucille Brueggeman, DDS
• Garrett J Brugger, D.C.
• James P Brugger, D.C.
• Jordan Bree Brunner, LPC
• Erika M Bublitz, M.A., L.P.C.
• Bubon & Associates, Orthodontics, SC

• Chiropractor in West Bend, WI
• Providers in West Bend, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.