Mitchell Bluml, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6130-12 Issued in WI

Practice address

1239 W Mason St
Green Bay, WI 54303-2047

Phone

(920) 884-6100

NPI assigned

Nov 6, 2023

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

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massart Chiropractic SCGroup PAC ID 1951452796, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Massart Chiropractic SC

  • Chiropractor
  • Green Bay, WI
  • NPI 1669616801
  Medicare reassignment Care Compare group NPD
• Leo J Bronston, DC

  • Chiropractor
  • Onalaska, WI
  • NPI 1427077718
  Medicare reassignment
• Leo J Bronston

  dba Bronston Chiropractic

  • Chiropractor
  • Onalaska, WI
  • NPI 1578507331
  NPD (past)

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

{
    "created_epoch": "1699228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1881467405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032047",
            "telephone_number": "920-884-6100",
            "fax_number": "920-884-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 W MASON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032047",
            "telephone_number": "920-884-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUML",
        "first_name": "MITCHELL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-06",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "6130-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Iris Counseling Services LLC
• Blue Skies Counseling LLC
• Ainsley E Blum, LPC, SAC-IT
• Hannah Blum, RD
• Macy Bluml, DC
• Wendy Boakye, MD
• Julie A Bobholz, PHD
• Thomas Edward Bobka, OD
• Megan Bocchicchio
• Martin Bochenek, MD

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.