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DR. BRIAN E FORMOLO D.C.
NPI 1760427207
Chiropractor in Oak Creek, WI

Active since June 18, 2006Accepts Medicare Assignment
1900 W RYAN RD, OAK CREEK, WI 53154(414) 761-5777(414) 761-7915 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 18, 2024, Oct 22, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2019).

About Dr. Brian E Formolo D.c. NPPES

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

DR. BRIAN E FORMOLO D.C. (NPI 1760427207) is an individual chiropractor in Oak Creek, Wisconsin, licensed in Wisconsin (3364) and active in the NPI registry since June 2006. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1760427207
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. BRIAN E FORMOLOCredential: D.C.
Location Address1900 W RYAN RDOak Creek, WI 53154-8233
Mailing Address1900 W Ryan RdOak Creek, WI 53154-8233 · (414) 761-5777 · Fax (414) 761-7915
Phone(414) 761-5777
Fax(414) 761-7915
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 18, 2006
Last NPPES UpdateJuly 18, 20244 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1760427207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Licenses✔ Licensed in WI · 3364✔ Licensed in FL · CH12750
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.
1900 W RYAN RD, Oak Creek, WI 53154
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Brian E Formolo D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759791593
PECOS Enrollment IDI20201105000820

Medicare Billing Reassignment

Medicare enrollment records show Brian Formolo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oak Creek Relief And Wellness Sc
Same address
Chiropractor
1900 W RYAN RD
Oak Creek, WI 53154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 6 clinicians in this Medicare group
NPI 1205979937 (414) 761-5777

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

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

MS. ELEAH JENNIFER GLANDER D.C.
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
DR. HOLLY MARIE BARCHMAN DC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
OAK CREEK RELIEF AND WELLNESS SC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
DR. DANIEL E. NAGY D.C.
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
DR. JEREMY SCOTT BARCHMAN DC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
DR. KARL A NIEDERMANN DC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
CODY ROBERT LEANNA DC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777
SCOTT GARY SIMON DC
Chiropractor
1900 W RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 761-5777

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 Brian Formolo's NPI number?

The NPI number for Brian Formolo is 1760427207. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Where is Brian Formolo located?

Brian Formolo practices at 1900 W Ryan Rd, Oak Creek, WI 53154. The listed phone number is (414) 761-5777.

What is Brian Formolo's specialty?

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

Is Brian Formolo enrolled in Medicare?

Yes. Brian Formolo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Brian Formolo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Formolo reassigns Medicare benefits to Oak Creek Relief And Wellness Sc (Oak Creek, WI). The 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 Brian Formolo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Formolo accept?

Health plans from Providence Health Plan list Brian Formolo 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 Brian Formolo was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.