WILSON CHIROPRACTIC LLC
NPI 1407235674
Chiropractor in Brookfield, WI

Active since May 21, 2015
19265 W CAPITOL DR STE 102, BROOKFIELD, WI 53045(262) 465-8340(262) 465-8337 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wilson Chiropractic Llc NPPES

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

WILSON CHIROPRACTIC LLC (NPI 1407235674), doing business as Pure Family Chiropractic, is a healthcare organization registered as a chiropractor in Brookfield, Wisconsin and active in the NPI registry since May 2015. The organization lists Nicholas Wilson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407235674
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameWILSON CHIROPRACTIC LLC
Location Address19265 W CAPITOL DR STE 102Brookfield, WI 53045-2750
Mailing Address19265 W Capitol Dr Ste 102Brookfield, WI 53045-2750 · (262) 465-8340
Fax(262) 465-8337
Organization SubpartNo
Authorized OfficialNicholas WilsonOwner · (262) 465-8340
Enumeration DateMay 21, 2015
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1407235674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 5035-12
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.
19265 W CAPITOL DR STE 102, Brookfield, WI 53045

Other Names 1

Doing Business AsPure Family Chiropractic

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)

Wilson Chiropractic 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 Wilson Chiropractic LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1962807065
19265 W CAPITOL DR STE 102
Brookfield, WI 53045
(262) 465-8340
✔ 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 Wilson Chiropractic LLC's NPI number?

The NPI number for Wilson Chiropractic LLC is 1407235674. It was assigned to this organization in the NPPES registry on May 21, 2015. The provider is doing business as Pure Family Chiropractic.

Where is Wilson Chiropractic LLC located?

Wilson Chiropractic LLC is located at 19265 W Capitol Dr Ste 102, Brookfield, WI 53045. The listed phone number is (262) 465-8340.

What is Wilson Chiropractic LLC's specialty?

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

Is Wilson Chiropractic LLC enrolled in Medicare?

Yes. Wilson Chiropractic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wilson Chiropractic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Wilson Chiropractic 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.

When was this NPI record last updated?

The NPPES record for Wilson Chiropractic LLC was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.