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: August 02, 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
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

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
2717 N GRANDVIEW BLVD STE 101
WAUKESHA, WI 53188
Chiropractor
2717 N GRANDVIEW BLVD STE 101
WAUKESHA, WI 53188

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.

What insurance does Breyan Radeck Dc, LLC accept?

Health plans from HealthPartners and Quartz 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.