MR. BRYAN J KLUSENDORF DC
NPI 1316953078
Chiropractor in Appleton, WI

Active since August 01, 2006
2505 E EVERGREEN DR, STE A, APPLETON, WI 54913(920) 735-0773(920) 735-0293 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bryan J Klusendorf Dc NPPES

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

MR. BRYAN J KLUSENDORF DC (NPI 1316953078) is an individual chiropractor in Appleton, Wisconsin, licensed in Wisconsin (1690) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1316953078
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameMR. BRYAN J KLUSENDORFCredential: DC
Location Address2505 E EVERGREEN DR, STE AAppleton, WI 54913-8910
Mailing Address2505 E Evergreen Dr, Ste AAppleton, WI 54913-8910 · (920) 735-0773 · Fax (920) 735-0293
Fax(920) 735-0293
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJune 27, 2011
NPI 1316953078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 1690
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.
2505 E EVERGREEN DR, Appleton, WI 54913

Other Identifiers 3

Medicare ID-Type Unspecified000035494WI
Medicare ID-Type UnspecifiedT62440WI
Medicare UPINT62440

Other Providers at the Same Location NPPES

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

Chiropractor
2505 E EVERGREEN DR, STE
APPLETON, WI 54913

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 Bryan Klusendorf's NPI number?

The NPI number for Bryan Klusendorf is 1316953078. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Bryan Klusendorf located?

Bryan Klusendorf practices at 2505 E Evergreen Dr Ste A, Appleton, WI 54913. The listed phone number is (920) 735-0773.

What is Bryan Klusendorf's specialty?

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

When was this NPI record last updated?

The NPPES record for Bryan Klusendorf was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.