Brett S Vandenbergh, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16186 Issued in WI

Practice address

1500 Madison Ave Ste 5a
New Richmond, WI 54017-6693

Phone

(715) 941-0277

NPI assigned

Aug 6, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Nielson Family Chiropractic PLLC

  • Chiropractor
  • St Louis Park, MN
  • NPI 1467736231

  Physical Therapist

  NPD
• Gregory W Bernard DC PA

  • Chiropractor
  • Ellsworth, WI
  • NPI 1245617687
  NPD (past)

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1730919671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 W 36TH ST STE 100",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554165470",
            "telephone_number": "952-925-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MADISON AVE STE 5A",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540176693",
            "telephone_number": "715-941-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERGH",
        "first_name": "BRETT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Re Tulman Bruner, CSAC
• Everett Tysdahl
• Kelley Ryan Uglem, PHARM. D.
• Laura Kay Utgard
• Michael D Vad, CRNA
• Ryan Vang
• Heather Renee Vogel, PT,DPT
• Peter W Vrieze, DC
• Julie Vuchetich, MS- CCC SLP
• Wal-Mart Stores East LP

• Physical Therapist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.