Brady Troy Booth · Chiropractor

123 N Broadway St, Stanley, WI 54768-1005

Overview

Brady Troy Booth is a Chiropractor practicing in Stanley, Wisconsin. The National Provider Identifier (NPI) is #1265242366, which was assigned on January 10, 2025, and the registration record was last updated on January 10, 2025. The practitioner's main practice location is at 123 N Broadway St, Stanley, WI 54768-1005; the contact telephone number is 7156445677. The primary taxonomy of Brady Troy Booth is Chiropractor (111N00000X). Brady Troy Booth is licensed to practice in the state of Wisconsin (#6269-12).

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.

Provider Information

NPI 1265242366
Entity Type Individual
Provider Name DR. BRADY TROY BOOTH
Gender Male
Credential DC
Practice Address 123 N Broadway St
Stanley
WI 54768-1005
Practice Telephone 7156445677
Mailing Address 123 N Broadway St
Stanley
WI 54768-1005
Mailing Telephone 7156445677
Certification Date 2024-12-11
Enumeration Date 2025-01-10
Last Update Date 2025-01-10
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 0244769826
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name BRADY TROY BOOTH
Medical School LOGAN COLLEGE OF CHIROPRACTIC
Primary Specialty CHIROPRACTIC
Organization Legal Name STANLEY FAMILY CHIROPRACTIC LLC
Address 123 N Broadway St
Stanley
WI 54768-1005

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y111N00000XChiropractor6269-12WI

Taxonomy Information

Primary Taxonomy

Code 111N00000X
Taxonomy Chiropractor
Classification Chiropractor
Grouping Chiropractic Providers
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.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Meghan Marie Gorsuch 3044 Thornapple River Dr Se, Grand Rapids, MI 49546-7137Chiropractor2026-04-10
Prime Chiropractic LLC 4874 Catalina Dr, Lake Orion, MI 48359-2432Chiropractor2026-04-10
Cjsf LLC 430 Main St, Wellsville, KS 66092-8878Chiropractor2026-04-10
Nathan Sperr 102 Maple Ave, Rochelle, IL 61068-8926Chiropractor2026-04-09
Brittany Post 1600 Sparkman Dr Nw, Huntsville, AL 35816-1114Chiropractor2026-04-10
Geiser Spine and Rehab PLLC 1813 Davidson Ave, The Villages, FL 32162-1645Chiropractor2026-04-08
Alexis Michelle Becker 9600 Veterans Dr Sw, Tacoma, WA 98493-0003Chiropractor2026-04-10
Lauren Jeanne Eads · Lauren Jeanne Zielinski 112 Avenue D Ste A, Snohomish, WA 98290-2743Chiropractor2026-04-09
Wyn Chiropractic & Rehabilitation PLLC 14300 Buck Hill Rd Ste E, Burnsville, MN 55306-6245Chiropractor2026-04-09
Igor Borisovich Kochekovich 115 Kohlers Xing Ste 430, Kyle, TX 78640-2463Chiropractor2026-04-10
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Location Information

Street Address 123 N BROADWAY ST
City STANLEY
State WI
Zip Code 54768-1005
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Aspirus Stanley Hospital & Clinics, Inc. 1120 Pine St, Stanley, WI 54768-1297Certified Registered Nurse Anesthetist2006-01-19
Aspirus Stanley Hospital & Clinics, Inc. 1120 Pine St, Stanley, WI 54768-1297General Acute Care Hospital2006-02-16
Crossroads Counseling Services, LLC 224 S Broadway St, Stanley, WI 54768-1011Mental Health Counselor2006-11-14
Aspirus Stanley Hospital & Clinics, Inc. 1120 Pine St, Stanley, WI 54768-1297Family Medicine Physician2006-01-24
Krystle Bacha 507 E 1st Ave, Stanley, WI 54768-1279School Psychologist2025-12-04
Ava Carlo 1120 Pine St, Stanley, WI 54768-1297Physical Therapist2026-01-20

Providers in the same city

Provider NameAddressTaxonomyEnumeration Date
Steady Care Transport, LLC 14615 Lucia Riverbend Hwy, Stanley, NC 28164-9779Non-emergency Medical Transport (VAN)2026-03-26
Mikayla Mae Dyson 6583 Bob White Trl, Stanley, NC 28164-9797Behavioral Analyst2025-12-30
Denise Marie Tyler 2074 Gorham Rd, Stanley, NY 14561-9761Registered Nurse2025-12-30
Jennifer Case 7290 Woodcock Trl, Stanley, NC 28164-7705Registered Dietitian2026-02-07

Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Brady Garrison · Brady Oberste 201 Ne 50th St, Oklahoma City, OK 73105-1811Case Manager/Care Coordinator2025-10-13
Troy Hylan · Troy Neuman 413 Sleepy Holw, Shreveport, LA 71115-9534Professional Counselor2023-10-12
Laura Booth · Adie Booth 4353 E Colfax Ave, Denver, CO 80220-1115Registered Nurse2026-02-09
Dawn Ml Booth 2850 Fowler Rd, Springfield, OH 45502-7752Home Health Agency2026-01-05
T'Mea Booth 3308 Tulane Ave Ste 407, New Orleans, LA 70119-7158Case Manager/Care Coordinator2024-08-19
Catherine Booth Heilman · Catherine Marie Booth 105 4th St # 727, East Berlin, PA 17316-9638Family Medicine Physician2006-07-02
Lyssi Harding Brady · Lyssi Brady 2380 N 124th St, Wauwatosa, WI 53226-1071Psychologist2017-04-24
John Patrick Brady · Jack Brady 311 W Superior St, Chicago, IL 60654-3548Clinical Psychologist2022-05-11
Ada Booth 3533 S Alameda St, Driscoll Children's Hospital, Corpus Christi, TX 78411-1721Child Abuse Pediatrics Physician2006-09-15
Brady Patrick Cox · James Brady Callos 2315 Stockton Blvd, Emergency Department, Sacramento, CA 95817Physician Assistant2009-08-04

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.