Individual provider Active NPI

Brian K Becker, DC

  • Chiropractor
  • Eau Claire, WI
National Provider Identifier
1760464416
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2706 Issued in WI
Practice address
2105 E Clairemont Ave
Stucky Chiropractic Center SC
Eau Claire, WI 54701
Phone
(715) 835-9514
Fax
(715) 835-2602
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2706 WI Primary

Addresses

Primary practice location

2105 E Clairemont Ave
Stucky Chiropractic Center SC
Eau Claire, WI 54701

Mailing address

2105 E Clairemont Ave
Stucky Chiropractic Center SC
Eau Claire, WI 54701
Phone (715) 835-9514

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041222000256 WI Practitioner - Chiropractic 2062470065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stucky Chiropractic Center SCGroup PAC ID 0345208344, 6 clinicians

Practice addresses (Care Compare)

2105 E Clairemont Ave
Eau Claire, WI 54701-4768
Phone (715) 835-9514

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stucky Chiropractic Center SC Chiropractor CurrentSince Apr 10, 2000 Accepting new patients

Locations

2105 E Clairemont Ave
Eau Claire, WI 54701
Phone (715) 835-9514

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1760464416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 E CLAIREMONT AVE",
            "address_2": "STUCKY CHIROPRACTIC CENTER SC",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-9514",
            "fax_number": "715-835-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 E CLAIREMONT AVE",
            "address_2": "STUCKY CHIROPRACTIC CENTER SC",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "54701",
            "telephone_number": "715-835-9514",
            "fax_number": "715-835-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.