NEIL TRUCKENBROD (DC) – Chiropractor, NPI 1871399204

NEIL TRUCKENBROD (DC) is a healthcare provider. based in Cedarburg, Wisconsin. specializing in CHIROPRACTIC. They hold the professional credentials DC. They hold a License No. 6276-12 (WI). The NPI Number for NEIL TRUCKENBROD (DC) is 1871399204

Main info

Male
2 Years Of Experience
Accepts Medicare Assignment
Name
NEIL TRUCKENBROD (DC)
NPI
1871399204
Phone
(262) 377-3240
Address
N144W6220 PIONEER RD
Enumeration Date
25 February 2025
Last Update Date
25 February 2025

Doctor Profile

Medical School Name
NORTHWESTERN COLLEGE OF CHIROPRACTIC
Secondary Phone
4142923499
Graduation Year
2024 (2 years ago)
PAC ID
4385156959
Group Practice PAC ID
5294825063
Professional Enrollment ID
I20250620001806
Address ID
WI532143957WE10025AVEX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,617 CHIROPRACTIC in WI

Provider Addresses for NEIL TRUCKENBROD (DC)

  • N144W6220 PIONEER RD

    CEDARBURG, WI 530122723

    Phone: (262) 377-3240

    Type: Location

  • W9037 CREEK RD

    DARIEN, WI 531141257

    Phone: (262) 374-4512

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250620001806IChiropracticWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294825063View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
Physical Therapist In Private PracticeWI
-WI
C H I R O P R A C T I CWI
-WI

Reviews

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Frequently asked questions

What federal number belongs to NEIL TRUCKENBROD (DC)?
The federal identifier for NEIL TRUCKENBROD (DC) is NPI 1871399204.
Is NEIL TRUCKENBROD (DC)'s NPI currently valid?
The extract we use shows NEIL TRUCKENBROD (DC) as active.
What kind of provider is NEIL TRUCKENBROD (DC)?
The page reflects Chiropractor for NEIL TRUCKENBROD (DC). Clinical services aligned with this taxonomy classification.
Does NEIL TRUCKENBROD (DC) practice in Wisconsin?
You will see Cedarburg, Wisconsin on file for NEIL TRUCKENBROD (DC) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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