BRE CHIROPRACTIC
NPI 1942575287
Chiropractor in Madison, WI

Active since March 20, 2012CLIA 52D2113358 · Waiver
621 S GAMMON RD, MADISON, WI 53719(608) 630-9040(608) 630-9060 Get Directions Write a Review

NPPES record last updated: August 16, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bre Chiropractic NPPES

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

BRE CHIROPRACTIC (NPI 1942575287) is a healthcare organization registered as a chiropractor in Madison, Wisconsin and active in the NPI registry since March 2012. The organization holds a CLIA Waiver certificate valid through May 19, 2028 and lists Breanna R Ballweg, Chiropractor, as its authorized official.

NPPES Registry Identity

NPI1942575287
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBRE CHIROPRACTIC
Location Address621 S GAMMON RDMadison, WI 53719-1371
Mailing Address621 S Gammon RdMadison, WI 53719-1371 · (608) 630-9040 · Fax (608) 630-9060
Fax(608) 630-9060
Organization SubpartNo
Authorized OfficialBreanna R BallwegChiropractor · (608) 630-9040
Enumeration DateMarch 20, 2012
Last NPPES UpdateAugust 16, 2012
NPI 1942575287 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4875-12
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.
621 S GAMMON RD, Madison, WI 53719

Other Identifiers 3

Medicaid100022189WI
OtherW12807WI · Medicare Organization Ptan
OtherW12807001WI · Medicare Ptan

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2113358

Bre Chiropractic LLC · Madison, WI
Active · expires May 19, 2028
CLIA Number52D2113358
Laboratory TypeChiropractic Clinic
Certificate Effective DateMay 20, 2026
Certificate Expiration DateMay 19, 2028
Laboratory DirectorDr. Breanna R. Ballweg
Laboratory Phone(608) 630-9040
Laboratory LocationBre Chiropractic LLC621 S Gammon Rd, Madison, WI 53719
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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
621 S GAMMON RD
MADISON, WI 53719

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 Bre Chiropractic's NPI number?

The NPI number for Bre Chiropractic is 1942575287. It was assigned to this organization in the NPPES registry on March 20, 2012.

Where is Bre Chiropractic located?

Bre Chiropractic is located at 621 S Gammon Rd, Madison, WI 53719. The listed phone number is (608) 630-9040.

What is Bre Chiropractic's specialty?

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

Does Bre Chiropractic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2113358) is associated with this NPI, valid through May 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bre Chiropractic accept?

Health plans from HealthPartners, Quartz and Security Health Plan list Bre Chiropractic 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 Bre Chiropractic was last updated on August 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.