Individual provider Active NPI

Brad N Veal, DC

  • Chiropractor
  • Medford, WI
National Provider Identifier
1972601557
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3326-012 Issued in WI
Practice address
1260 S 8TH St
Medford, WI 54451-2069
Phone
(715) 748-6969
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3326-012 WI Primary

Addresses

Primary practice location

1260 S 8TH St
Medford, WI 54451-2069

Mailing address

1260 S 8TH St
Medford, WI 54451-2069
Phone (715) 748-6969

Other identifiers 5

IdentifierTypeStateIssuer
350037849OtherWIRAILROAD MEDICARE
CB3715OtherRAILROAD MEDICARE
38895500MedicaidWI
43650OtherSECURITY HEALTH PLAN
38988000OtherMEDICAID GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100109000128 WI Practitioner - Chiropractic 9234270471 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Correction Creek Chiropractic Centre LLCGroup PAC ID 6901085968, 2 clinicians

Practice addresses (Care Compare)

1260 S 8TH St
Medford, WI 54451-2069
Phone (715) 748-6969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3326-012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Correction Creek Chiropractic Centre LLC Chiropractor CurrentSince Sep 1, 2010 Accepting new patients
Allied Health of Wisconsin, SC Chiropractor PastSince Sep 1, 2010 Accepting new patients

Locations

1260 S 8th St
Medford, WI 54451
Phone (715) 748-6969

Organizations & group practices 2

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1972601557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S 8TH ST",
            "city": "MEDFORD",
            "state": "WI",
            "postal_code": "544512069",
            "telephone_number": "715-748-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEAL",
        "first_name": "BRAD",
        "middle_name": "N",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3326-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350037849",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB3715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38895500",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "43650",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "38988000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.