DR. JEFFREY GENE BUNTROCK DC NPI 1881624823

NPI Information

NPI: 1881624823
Provider Name: DR. JEFFREY GENE BUNTROCK, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address: 612 S WELLS ST
SUITE C
LAKE GENEVA, WI
ZIP 53147
Phone: (262) 248-8177

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NPI Details

DR. Jeffrey Gene Buntrock, DC is a chiropractor in Lake Geneva, WI with 35 years of experience. 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. DR. Jeffrey Gene Buntrock, DC NPI is 1881624823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: PALMER COLLEGE CHIROPRACTIC - WEST SUNNYVALE
Graduation Year:1991

The provider's business location address is:

612 S WELLS ST
SUITE C
LAKE GENEVA, WI
ZIP 53147-159
Phone: (262) 248-8177
Fax: (262) 248-6393

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Chiropractic manipulative treatment, 3-4 spinal regions (HCPCS:98941)

The enumeration date for this NPI number is 7/4/2006 and was last updated on 5/29/2013.

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
1	111N00000X	Chiropractor		2834-012	WISCONSIN	Yes

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	38863200	MEDICAID	WISCONSIN
2	000135180	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	LAKE GENEVA CHIROPRACTIC

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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