Zachary Brocker, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5108-12 Issued in WI

Practice address

516 S Wisconsin Dr
Howards Grove, WI 53083-1261

Phone

(920) 565-3922

Fax

(920) 565-2142

NPI assigned

Apr 5, 2016

Sex

Male

Sole proprietor

Yes

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

Logan College of Chiropractic, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Varish Chiropractic Clinics LLCGroup PAC ID 4981675543, 5 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.

• Varish Chiropractic Clinics, LLC

  • Chiropractor
  • Howards Grove, WI
  • NPI 1316008055
  Medicare reassignment Care Compare group NPD
• Chiropractic Company - 23 LTD

  • Chiropractor
  • Brookfield, WI
  • NPI 1346397783
  NPD (past)

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1922461037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831261",
            "telephone_number": "920-565-3922",
            "fax_number": "920-565-2142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S WISCONSIN DR",
            "city": "HOWARDS GROVE",
            "state": "WI",
            "postal_code": "530831261",
            "telephone_number": "920-565-3922",
            "fax_number": "920-565-2142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKER",
        "first_name": "ZACHARY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-05",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5108-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurora Meidcal Group, Inc.
• Aurora Pharmacy
• Aurora Pharmacy Inc
• Melanie Sheri Becker, LPN
• Catherine M Best, MD
• Nicholas Andrew Broder, DC
• Erik Thomas Butzen, D.C
• Choices Family Education Services of Wi LLC
• David W. Kisiolek, O.D., S.C.
• Noemi Gisell Garcia, D.D.S.

• Chiropractor in Howards Grove, WI
• Providers in Howards Grove, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.