NPIMap

Organization Active NPI

Donnermeyer Chiropractic L.L. C.

  • Chiropractor
  • Appleton, WI
National Provider Identifier
1790895217
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2798 Issued in WI
Legal business name
DONNERMEYER CHIROPRACTIC L.L. C.
Practice address
873 N Casaloma Dr
Appleton, WI 54913-8606
Phone
(920) 734-2400
Fax
(920) 734-2100
NPI assigned
Aug 30, 2006
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Dr. Bradley P Donnermeyer, DCNPI 1619087533
Title
Owner
Phone
(920) 734-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2798 WI Primary
Chiropractor 111N00000X 3834012 WI

Addresses

Primary practice location

873 N Casaloma Dr
Appleton, WI 54913-8606

Mailing address

873 N Casaloma Dr
Appleton, WI 54913-8606
Phone (920) 734-2400

Other identifiers 8

IdentifierTypeStateIssuer
500923885OtherWIDR MARKOVICH'S NETWORK
664066OtherWIDR MARKOVICH UNITEDHEALTH
664130OtherWIDR NUSSBAUM UNITEDHEALTH
394829414OtherWIDR AMY NUSSBAUM'S NETWORK
38907500MedicaidWI
500923885001OtherWIDR JAMES MARKOVICH BCBS
394829414EO4OtherWIDR AMY NUSSBAUM'S BCBS
38935800MedicaidWI

National Provider Directory

National Provider Directory

Locations

873 N Casaloma Dr
Appleton, WI 54913
Phone (920) 734-2400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1790895217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138606",
            "telephone_number": "920-734-2400",
            "fax_number": "920-734-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "873 N CASALOMA DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138606",
            "telephone_number": "920-734-2400",
            "fax_number": "920-734-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONNERMEYER CHIROPRACTIC L.L. C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "DONNERMEYER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-734-2400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2798",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3834012",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MARKOVICH'S NETWORK",
            "identifier": "500923885",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR MARKOVICH UNITEDHEALTH",
            "identifier": "664066",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR NUSSBAUM UNITEDHEALTH",
            "identifier": "664130",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR AMY NUSSBAUM'S NETWORK",
            "identifier": "394829414",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38907500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR JAMES MARKOVICH BCBS",
            "identifier": "500923885001",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR AMY NUSSBAUM'S BCBS",
            "identifier": "394829414EO4",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38935800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.