DR. BREYAN MICHELLE RADECK (NPI# 1043453426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043453426 |
| Entity Type | Individual |
| Full Name | DR. BREYAN MICHELLE RADECK |
| Credential | D.C. |
| Practice Address |
2717 N Grandview Blvd Ste 101 Waukesha WI 53188-1672 |
| Practice Telephone | 2623499370 |
| Practice Fax Number | 2623499729 |
| Mailing Telephone | 2623499370 |
| Mailing Fax Number | 2623499729 |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2019-06-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4494012 | WI | Chiropractic Providers |
| Street Address |
2717 N GRANDVIEW BLVD STE 101 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488299 | Pure Chiropractic and Wellness | Chiropractor | 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188-1672 | 2017-03-13 |
| 1043564610 | Breyan Radeck Dc, LLC | Chiropractor | 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188-1672 | 2012-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139958 | True North Health and Wellness LLC | Chiropractor | W234s3555 State Road 59, Waukesha, WI 53189-8512 | 2019-01-31 |
| 1316498850 | Affinity Chiropractic & Wellness, LLC | Chiropractor | 259 South St, Waukesha, WI 53186-4824 | 2016-10-19 |
| 1265806236 | Chiro One Wellness Center of Waukesha, LLC | Chiropractor | 21075 Swenson Dr Ste 700, Waukesha, WI 53186-2063 | 2015-11-13 |
| 1922470715 | Allison Pitt | Chiropractor | W238n1690 Rockwood Dr Ste 200, Waukesha, WI 53188-1151 | 2015-10-20 |
| 1568891497 | Zach Shiels | Chiropractor | 1375 S Cherokee Dr, Waukesha, WI 53186-5343 | 2013-11-01 |
| 1891123741 | Full Motion Family Chiropractic LLC | Chiropractor | 20611 Watertown Rd Ste B, Waukesha, WI 53186-1871 | 2013-10-30 |
| 1174879365 | Chiropractic Management Services, LLC | Chiropractor | 1427 E Racine Ave, Suite G, Waukesha, WI 53186-6468 | 2012-07-25 |
| 1033401443 | Heather Davidson | Chiropractor | 21075 Swenson Drive Suite 700, Waukesha, WI 53186 | 2011-05-04 |
| 1760615512 | Krukowski Family Chiropractic LLC | Chiropractor | 811 N Grandview Blvd, Waukesha, WI 53188-2845 | 2009-08-27 |
| 1497989073 | Hetz Management, S.c. | Chiropractor | 1720 Dolphin Dr, Suite E, Waukesha, WI 53186-1489 | 2009-05-11 |
| Find all providers in WAUKESHA | ||||
Please comment or provide details below to improve the information on DR. BREYAN MICHELLE RADECK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.