FONTANA FAMILY CHIROPRACTIC
NPI 1306045315
Chiropractor in Fontana, WI

Active since July 11, 2007
450 MILL ST, SUITE 102, FONTANA, WI 53125(262) 275-5005 Get Directions Write a Review

NPPES record last updated: December 30, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Fontana Family Chiropractic NPPES

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

FONTANA FAMILY CHIROPRACTIC (NPI 1306045315) is a healthcare organization registered as a chiropractor in Fontana, Wisconsin and active in the NPI registry since July 2007. The organization lists Jeremy Logan Bria, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1306045315
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameJLB,INC
Location Address450 MILL ST, SUITE 102Fontana, WI 53125-1242
Mailing Address450 Mill St, Suite 102Fontana, WI 53125-1242 · (262) 275-5005 · Fax (262) 275-5004
Organization SubpartNo
Authorized OfficialJeremy Logan BriaChiropractor · (262) 325-7195
Enumeration DateJuly 11, 2007
Last NPPES UpdateDecember 30, 2013
✔ NPI 1306045315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 4188-012
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 interrelationship with other body systems.
450 MILL ST, Fontana, WI 53125

Other Names 1

Doing Business AsFontana Family Chiropractic

Other Identifiers 2

Other000054027Medicare
Medicaid38966200WI

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fontana Family Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Fontana Family Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Chiropractic
NPI 1669531885
450 MILL ST SUITE 102
Fontana, WI 53125
(262) 275-5005
✔ Accepts MedicareSame address
Chiropractic
NPI 1548268816
5508 CLAYTON CIR
Roscoe, IL 61073
(815) 623-6534
✔ Accepts Medicare23 mi

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 Jlb,inc's NPI number?

The NPI number for Jlb,inc is 1306045315. It was assigned to this organization in the NPPES registry on July 11, 2007. The provider is doing business as Fontana Family Chiropractic.

Where is Jlb,inc located?

Jlb,inc is located at 450 Mill St Suite 102, Fontana, WI 53125. The listed phone number is (262) 275-5005.

What is Jlb,inc's specialty?

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

Is Jlb,inc enrolled in Medicare?

Yes. Jlb,inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jlb,inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Jlb,inc. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jlb,inc was last updated on December 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.