BRETT EGELSEER NPI 1851570725

NPI Information

  • NPI: 1851570725
  • Provider Name: BRETT EGELSEER
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED SPINE CENTER
  • Address: 11203 N BUNTROCK AVE
    SUITE 100
    MEQUON, WI
    ZIP 53092
  • Phone: (262) 512-1661

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NPI Details

BRETT EGELSEER is a chiropractor in Mequon, WI. The provider is 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. BRETT EGELSEER NPI is 1851570725. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Spine Center.

The provider's business location address is:

11203 N BUNTROCK AVE
SUITE 100
MEQUON, WI
ZIP 53092-857
Phone: (262) 512-1661
Fax: (262) 512-1663

The provider's authorized official is Jennifer C Boy .
The authorized official title is Office Manager and has the following contact phone number (920) 467-6281.

The enumeration date for this NPI number is 10/29/2007 and was last updated on 4/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractor2649-012WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========021OTHERWISCONSINBLUE CROSS BLUE SHIELD
238898300MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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