Bradley Dale Wildberg in Medford - Chiropractor
Bradley Dale Wildberg - NPI 1528086311
Bradley Dale Wildberg is a Chiropractor in Medford, Wisconsin. Bradley Dale Wildberg practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Bradley Dale Wildberg is 1528086311. The last update date is 2019-07-08.
Bradley Dale Wildberg's current location address is 805 W Broadway Ave, Medford, Wisconsin. You can contact this provider via phone number 7157482334 and fax number 7157481124. The mailing address for Bradley Dale Wildberg is 805 W Broadway Ave, Medford, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bradley Dale Wildberg |
|---|---|
| Address | 805 W Broadway Ave, Medford, Wisconsin |
| Phone Number | 7157482334 |
| Fax Number | 7157481124 |
| Sole Proprietor | N |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1528086311 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2019-07-08 |
Provider Mailing Address Detail
| Address | 805 W Broadway Ave |
|---|---|
| City | Medford |
| State | Wisconsin (WI) |
| Post Code | 544511307 |
| Phone Number | 7157482334 |
| Fax Number | 7157481124 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1600-012 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 38764400 | WI | -- | |
| 38987200 | WI | MEDICAID GROUP |
Post Comment/ Review Below
What is the unique identifier code issued to Bradley Dale Wildberg by the Centers for Medicare & Medicaid Services (CMS)?
The Bradley Dale Wildberg has been assigned the NPI (National Provider Identifier) 1528086311. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Bradley Dale Wildberg?
The Bradley Dale Wildberg is situated at 805 W Broadway Ave, in the city of Medford, state of WI, with the zip code 544511307.
What is Bradley Dale Wildberg's area of expertise and its corresponding taxonomy classification?
The Bradley Dale Wildberg's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1528086311 to Bradley Dale Wildberg?
The Bradley Dale Wildberg received its 1528086311 assignment from the Centers for Medicare & Medicaid Services on 2006-07-18.
When was the information regarding Bradley Dale Wildberg, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bradley Dale Wildberg, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-07-08.