DR. GREGORY MICHAEL BLAU D.C.
NPI 1003931437
Chiropractor in Brookfield, WI

Active since March 21, 2007
14625 W LISBON RD, BROOKFIELD, WI 53005(262) 783-5010(262) 783-9992 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory Michael Blau D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GREGORY MICHAEL BLAU D.C. (NPI 1003931437) is an individual chiropractor in Brookfield, Wisconsin, licensed in Wisconsin (1560) and active in the NPI registry since March 2007. He is a graduate of Palmer College Chiropractic - Davenport (1980).

NPPES Registry Identity

NPI1003931437
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. GREGORY MICHAEL BLAUCredential: D.C.
Location Address14625 W LISBON RDBrookfield, WI 53005-1626
Mailing AddressW222n2728 Stonewood LnWaukesha, WI 53186-1035 · (262) 547-2528 · Fax (262) 783-9992
Fax(262) 783-9992
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - DavenportGraduated 1980
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1003931437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 1560
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 interrelationship with other body systems.
14625 W LISBON RD, Brookfield, WI 53005

Other Identifiers 1

Medicare UPINT61519WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Gregory Michael Blau D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567658693
PECOS Enrollment IDI20101201000232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gregory Blau's NPI number?

The NPI number for Gregory Blau is 1003931437. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Gregory Blau located?

Gregory Blau practices at 14625 W Lisbon Rd, Brookfield, WI 53005. The listed phone number is (262) 783-5010.

What is Gregory Blau's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Gregory Blau enrolled in Medicare?

Yes. Gregory Blau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Blau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.