Healthcare Provider Details

I. General information

NPI: 1265343701
Provider Name (Legal Business Name): BRYCE KREMER DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 VENTURE CT STE 2
VERONA WI
53593-1819
US

IV. Provider business mailing address

3021 ALLIES LN
CROSS PLAINS WI
53528-9264
US

V. Phone/Fax

Practice location:
  • Phone: 608-285-2226
  • Fax:
Mailing address:
  • Phone: 608-285-2226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number6407-12
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: