Organization Active NPI

Drewicz Wellness, LLC

  • Chiropractor
  • Brookfield, WI
National Provider Identifier
1831526581
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2365 Issued in WI
Legal business name
DREWICZ WELLNESS, LLC
Practice address
17100 W Bluemound Rd
Suite 203
Brookfield, WI 53005-5950
Phone
(262) 402-6740
Fax
(262) 402-6741
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Dr. Mark Steven Drewicz, D.C.
Title
Owner/President
Phone
(414) 305-5869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2365 WI Primary

Addresses

Primary practice location

17100 W Bluemound Rd
Suite 203
Brookfield, WI 53005-5950

Mailing address

17100 W Bluemound Rd
Suite 203
Brookfield, WI 53005-5950
Phone (262) 402-6740

National Provider Directory

National Provider Directory

Locations

17100 W Bluemound Rd
Ste 203
Brookfield, WI 53005
Phone (262) 402-6740

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1831526581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 W BLUEMOUND RD",
            "address_2": "SUITE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055950",
            "telephone_number": "262-402-6740",
            "fax_number": "262-402-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 W BLUEMOUND RD",
            "address_2": "SUITE 203",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055950",
            "telephone_number": "262-402-6740",
            "fax_number": "262-402-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREWICZ WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "DREWICZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "414-305-5869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.