BRIDGET GRACE LABUS DC
NPI 1417676875
Chiropractor in Walworth, WI

Active since August 26, 2022
203 PRAIRIE DR, WALWORTH, WI 53184(415) 710-4708 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bridget Grace Labus Dc NPPES

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

BRIDGET GRACE LABUS DC (NPI 1417676875) is an individual chiropractor in Walworth, Wisconsin, licensed in Wisconsin (6302-12) and active in the NPI registry since August 2022. She is a graduate of Life Chiropractic College - West (2022).

NPPES Registry Identity

NPI1417676875
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameBRIDGET GRACE LABUSCredential: DC
Location Address203 PRAIRIE DRWalworth, WI 53184-9795
Mailing Address203 Prairie DrWalworth, WI 53184-9795 · (415) 710-4708
Sole ProprietorNo
Medical School CMSLife Chiropractic College - WestGraduated 2022
Enumeration DateAugust 26, 2022
Last NPPES UpdateAugust 22, 2025
NPPES CertifiedAugust 22, 2025
✔ NPI 1417676875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6302-12
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.
203 PRAIRIE DR, Walworth, WI 53184

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bridget Grace Labus Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072999275
PECOS Enrollment IDI20251222001792

Medicare Billing Reassignments

2

Medicare enrollment records show Bridget Labus reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chiropractor
107 N 3RD ST
Delavan, WI 53115
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2 clinicians in this Medicare group
Chiropractor
5212 CLAREMONT AVE
Oakland, CA 94618
  • Reassigned Medicare billing, California enrollment
  • 4 clinicians in this Medicare group

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 Bridget Labus's NPI number?

The NPI number for Bridget Labus is 1417676875. It was assigned to this individual provider in the NPPES registry on August 26, 2022.

Where is Bridget Labus located?

Bridget Labus practices at 203 Prairie Dr, Walworth, WI 53184. The listed phone number is (415) 710-4708.

What is Bridget Labus's specialty?

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

Is Bridget Labus enrolled in Medicare?

Yes. Bridget Labus is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bridget Labus's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bridget Labus reassigns Medicare benefits to 2 organizations: Joel Sperling Dc LLC (Delavan, WI) and (Oakland, CA). Each 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 Bridget Labus's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bridget Labus was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.