Active NPI
Bradley James Wiegand, D.C.
- Chiropractor
- Sheboygan, WI
National Provider Identifier
1750645669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4891
- Practice address
- 4027 S Business Dr
Sheboygan, WI 53081-1261 - Phone
- (920) 459-9090
- NPI assigned
- Jun 26, 2012
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 4891 | WI | Primary |
Addresses
Primary practice location
4027 S Business Dr
Sheboygan, WI 53081-1261
Mailing address
126 E Mill St
Plymouth, WI 53073-1704
Phone (920) 892-8920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4891 | WI | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheboygan Chiro Plus LLC | Chiropractor | Current | Accepting new patients |
Locations
126 E Mill St
Plymouth, WI 53073
Phone (920) 892-8920
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": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450656000000",
"number": "1750645669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 E MILL ST",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530731704",
"telephone_number": "920-892-8920",
"fax_number": "920-892-8920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 S BUSINESS DR",
"city": "SHEBOYGAN",
"state": "WI",
"postal_code": "530811261",
"telephone_number": "920-459-9090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIEGAND",
"first_name": "BRADLEY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2015-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "4891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sheboygan, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.