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BRYCE GALLAGHER DC
NPI 1790555209
Chiropractor in Green Bay, WI

Active since January 05, 2024Accepts Medicare Assignment
2525 W MASON ST, GREEN BAY, WI 54303(920) 429-2844 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bryce Gallagher Dc NPPES

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

BRYCE GALLAGHER DC (NPI 1790555209) is an individual chiropractor in Green Bay, Wisconsin, licensed in Wisconsin (6156-12) and active in the NPI registry since January 2024. He is a graduate of Logan College Of Chiropractic (2023).

NPPES Registry Identity

NPI1790555209
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameBRYCE GALLAGHERCredential: DC
Location Address2525 W MASON STGreen Bay, WI 54303-4838
Mailing Address2525 W Mason StGreen Bay, WI 54303-4838 · (920) 429-2844
Phone(920) 429-2844
Sole ProprietorNo
Medical School CMSLogan College Of ChiropracticGraduated 2023
Enumeration DateJanuary 5, 2024
NPPES CertifiedJanuary 5, 2024
✔ NPI 1790555209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in WI · 6156-12
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.
2525 W MASON ST, Green Bay, WI 54303
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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

Bryce Gallagher Dc 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 ID6204289275
PECOS Enrollment IDI20240125002665

Medicare Billing Reassignment

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

The Wellness Way Green Bay LLC
0.2 mi
Chiropractor
2525 W MASON ST
Green Bay, WI 54303
  • Reassigned Medicare billing, Wisconsin enrollment
  • 7 clinicians in this Medicare group
NPI 1003837170 (920) 429-2844

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 11

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

DR. STEPHEN LEMMONS D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
THE WELLNESS WAY GREEN BAY LLC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
KENDRA ALLEN DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. SAMUEL WAGNER DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. PATRICK MICHAEL FLYNN D.C.
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
DR. DESTINY DECKER DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (607) 857-4087
JASON WILLIAM NOBLES DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844
ANTHONY JAMES OTTO DC
Chiropractor
2525 W MASON ST
GREEN BAY, WI 54303
Brown County (920) 429-2844

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 Bryce Gallagher's NPI number?

The NPI number for Bryce Gallagher is 1790555209. It was assigned to this individual provider in the NPPES registry on January 5, 2024.

Where is Bryce Gallagher located?

Bryce Gallagher practices at 2525 W Mason St, Green Bay, WI 54303. The listed phone number is (920) 429-2844.

What is Bryce Gallagher's specialty?

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

Is Bryce Gallagher enrolled in Medicare?

Yes. Bryce Gallagher 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 Bryce Gallagher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryce Gallagher reassigns Medicare benefits to The Wellness Way Green Bay LLC (Green Bay, 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 Bryce Gallagher'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 Bryce Gallagher was last updated on January 5, 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.