Individual provider Active NPI

Nicholas Burgei, D.C.

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1720490782
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5019-12 Issued in WI
Practice address
10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754
Phone
(517) 795-9988
NPI assigned
May 27, 2014
Last updated
Oct 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5019-12 WI Primary

Addresses

Primary practice location

10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754

Mailing address

10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754
Phone (517) 795-9988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105002829 WI Practitioner - Chiropractic 9234431453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Wisconsin Family and Sports Chiropractic, LLCGroup PAC ID 1557663770, 2 clinicians

Practice addresses (Care Compare)

10224 N Port Washington Rd
Suite F
Mequon, WI 53092-5754
Phone (262) 236-9489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5019-12WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wisconsin Family and Sports Chiropractic, LLC Chiropractor CurrentSince Dec 30, 2015 Accepting new patients

Locations

10224 N Port Washington Rd
Ste F
Mequon, WI 53092
Phone (262) 236-9489

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

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1720490782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754",
            "telephone_number": "517-795-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10224 N PORT WASHINGTON RD",
            "address_2": "SUITE F",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925754",
            "telephone_number": "517-795-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGEI",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5019-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.