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BREYAN RADECK DC, LLC
NPI 1043564610
Chiropractor in Waukesha, WI

Active since November 05, 2012
2717 N GRANDVIEW BLVD STE 101, WAUKESHA, WI 53188(262) 349-9370(262) 349-9729 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Breyan Radeck Dc, Llc NPPES

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

BREYAN RADECK DC, LLC (NPI 1043564610) is a healthcare organization registered as a chiropractor in Waukesha, Wisconsin and active in the NPI registry since November 2012. The organization lists Breyan Radeck, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1043564610
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBREYAN RADECK DC, LLC
Location Address2717 N GRANDVIEW BLVD STE 101Waukesha, WI 53188-1672
Mailing Address2717 N Grandview Blvd Ste 101Waukesha, WI 53188-1672 · (262) 349-9370 · Fax (262) 349-9729
Phone(262) 349-9370
Fax(262) 349-9729
Organization SubpartNo
Authorized OfficialBreyan RadeckChiropractor · (262) 349-9370
Enumeration DateNovember 5, 2012
Last NPPES UpdateJune 27, 2019
✔ NPI 1043564610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4494012
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.
2717 N GRANDVIEW BLVD STE 101, Waukesha, WI 53188
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Other Identifiers 1

Medicaid1043453426WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breyan Radeck Dc, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Breyan Radeck Dc, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Breyan Radeck, D.C.
Chiropractic
NPI 1043453426
2717 N GRANDVIEW BLVD STE 101
Waukesha, WI 53188
(262) 349-9370
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Breyan Radeck Dc, LLC's NPI number?

The NPI number for Breyan Radeck Dc, LLC is 1043564610. It was assigned to this organization in the NPPES registry on November 5, 2012.

Where is Breyan Radeck Dc, LLC located?

Breyan Radeck Dc, LLC is located at 2717 N Grandview Blvd Ste 101, Waukesha, WI 53188. The listed phone number is (262) 349-9370.

What is Breyan Radeck Dc, LLC's specialty?

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

Is Breyan Radeck Dc, LLC enrolled in Medicare?

Yes. Breyan Radeck Dc, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breyan Radeck Dc, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Breyan Radeck Dc, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Breyan Radeck Dc, LLC accept?

Health plans from HealthPartners list Breyan Radeck Dc, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breyan Radeck Dc, LLC was last updated on June 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.