Travis Ross Bird, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5460-12 Issued in WI

Practice address

419 2ND St W
Menomonie, WI 54751-1805

Phone

(715) 235-3590

NPI assigned

May 14, 2019

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

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Bird Chiropractic Office LLC

  • Chiropractor
  • Menomonie, WI
  • NPI 1710500293
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1760048896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 2ND ST W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511805",
            "telephone_number": "715-308-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 2ND ST W",
            "city": "MENOMONIE",
            "state": "WI",
            "postal_code": "547511805",
            "telephone_number": "715-235-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "TRAVIS",
        "middle_name": "ROSS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5460-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula A Bernini Feigal, CPM
• Nichole Ashley Berryman, CRNA
• Dana Katherine Bessen, NP
• Suzanne Bilse, AUD CCCA
• Bird Chiropractic Office LLC
• Ashley Louise Bleskachek, OTR/L
• Joshua Paul Bleskachek
• Jake B Bloom, LPC
• Terri Bollinger
• Matthew Joseph Borgo, M.D.

• Chiropractor in Menomonie, WI
• Providers in Menomonie, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.