Individual provider Active NPI

Brandon Lee Meye, D.C.

  • Chiropractor
  • Mequon, WI
National Provider Identifier
1942547385
Registry record updated Jan 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4919-12 Issued in WI
Practice address
11649 N. Port Washington Rd
Suite 100
Mequon, WI 53092
Phone
(262) 240-2273
NPI assigned
Jan 4, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 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 4919-12 WI Primary

Addresses

Primary practice location

11649 N. Port Washington Rd
Suite 100
Mequon, WI 53092

Mailing address

11649 N. Port Washington Rd
Suite 100
Mequon, WI 53092
Phone (262) 240-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130405000079 WI Practitioner - Chiropractic 1951546357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Country Health Center SCGroup PAC ID 6709777949, 2 clinicians

Practice addresses (Care Compare)

1452 Genesee St
Delafield, WI 53018-1432
Phone (262) 646-5800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4919-12WIMDChiropractor
4919WIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Country Health Center, SC Chiropractor CurrentSince Jan 5, 2016 Accepting new patients

Locations

1452 Genesee St
Delafield, WI 53018
Phone (262) 646-5800

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357257600000",
    "number": "1942547385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11649 N. PORT WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-240-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11649 N. PORT WASHINGTON RD",
            "address_2": "SUITE 100",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "53092",
            "telephone_number": "262-240-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYE",
        "first_name": "BRANDON",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-04",
        "last_updated": "2013-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4919-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mequon, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.