DR. BRIAN GIULIANI DC
NPI 1063862076
Chiropractor in Sheboygan, WI
NPI Status: Active since June 21, 2016
Contact Information
3400 UNION AVE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 828-2530
Fax: (920) 828-2535
- Individual
- Male
- Years of Experience 11
- Chiropractor
- Accepts Insurance
- Accepts Medicare Approved Payment
About BRIAN GIULIANI
This page provides the complete NPI Profile along with additional information for Brian Giuliani, a provider established in Sheboygan, Wisconsin with a medical specialization in Chiropractor and more than 11 years of experience. He graduated from New York Chiropractic College in 2015. The healthcare provider is registered in the NPI registry with number 1063862076 assigned on June 2016. The practitioner's primary taxonomy code is 111N00000X with license number 5240 (WI). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1063862076
- Provider Name
- DR. BRIAN GIULIANI DC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3400 UNION AVE SHEBOYGAN, WI 53081
- Location Phone
- (920) 828-2530
- Location Fax
- (920) 828-2535
- Mailing Address
- PO BOX 735044 CHICAGO, IL 60673
- Medical School Name
- NEW YORK CHIROPRACTIC COLLEGE
- Graduation Year
- 2015
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 06-21-2016
- Last Update Date
- 09-18-2023
- Code Navigator
A chiropractor like Brian Giuliani helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Chiropractor
- Taxonomy Code
- 111N00000X
- Type
- Chiropractic Providers
- License No.
- 5240
- License State
- WI
- Taxonomy Description
- 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network - EPO
- CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network - EPO
- CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) - EPO
- CGHC Bronze Standard $7500 - Envision Network - EPO
- CGHC Bronze Standard $7500 - Envision Network (Vision Exam) - EPO
- CGHC Catastrophic $9200 - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network - EPO
- CGHC Gold $0 Ded - Envision Network (Vision Exam) - EPO
- CGHC Gold $3000 - Envision Network - EPO
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Robin Oak $1,000 Gold - PPO
- Altru Prime by Medica Bronze $0 Copay PCP Visits - HMO
- Altru Prime by Medica Bronze Share - HMO
- Altru Prime by Medica Expanded Bronze Standard - HMO
- Altru Prime by Medica Gold $0 Copay PCP Visits - HMO
- Altru Prime by Medica Gold Share - HMO
- Altru Prime by Medica Gold Standard - HMO
- Altru Prime by Medica Silver $0 Copay PCP Visits - HMO
- Altru Prime by Medica Silver Share - HMO
- Altru Prime by Medica Silver Standard - HMO
- Elevate by Medica Bronze $0 Copay PCP Visits - EPO
- Gold 1 - HMO
- Gold 1 with Adult Vision Services - HMO
- Gold 8 - HMO
- Silver 1 - HMO
- Silver 1 with Adult Vision Services - HMO
- Silver 12 with First 4 Primary Care Visits Free - HMO
- Silver 8 - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value HSA (No Referrals) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100065460 | MEDICAID (05) | WI | |
| 1063862076 | MEDICAID (05) | WI |
Medicare Participation & PECOS Enrollment Status
Brian Giuliani is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 7517242548
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20170314000903
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Chiropractic manipulative treatment, 1-2 spinal regions
Chiropractic manipulative treatment, 3-4 spinal regions
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
This service was performed 41 times for 15 patientsChiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
This service was performed 106 times for 22 patientsReviews for DR. BRIAN GIULIANI DC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 6 | 3 | 8 | 6 | 2 | 0 | 7 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 12 | 3 | 16 | 6 | 4 | 0 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 2 + 3 + 1 + 6 + 6 + 4 + 0 + 1 + 4 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1063862076 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437805827 | AURORA MEDICAL GROUP, INC. Organization | Durable Medical Equipment & Medical Supplies | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 828-2530 |
| 1770236457 | NICOLE A VELDHORST OTR/L Individual | Occupational Therapist | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 828-2700 |
| 1598151193 | JOHN A SCHERER MD Individual | Radiology (Diagnostic Radiology) | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1417679689 | ASHLEY RAWLINGS LAT Individual | Specialist/Technologist (Athletic Trainer) | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1912657040 | KARA D THOMSEN Individual | Nurse Anesthetist, Certified Registered | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 451-5000 |
| 1861953721 | BRETT S KNUDSEN Individual | Hospitalist | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1144976994 | ERIN JENNIFER LEROY Individual | Physician Assistant | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1780983320 | NEBIYU Y BIRU M.D. Individual | Internal Medicine (Pulmonary Disease) | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 828-2700 |
| 1831501816 | ANGEL BUETTNER Individual | Nurse Practitioner | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2605 |
| 1881300010 | EMILY LYNN GREENING PA Individual | Physician Assistant | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1952898355 | SHUAIB RAZA Individual | Emergency Medicine | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1497383541 | DAVID MICHAEL JORGENSEN MD Individual | Hospitalist | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1679927826 | MARY J KAO MD Individual | Obstetrics & Gynecology | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 828-2400 |
| 1033525837 | SREE RAMYA PUNUKOLLU Individual | Hospitalist | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1134532435 | TYLER BERANEK D.O. Individual | Emergency Medicine | 3400 UNION AVE SHEBOYGAN, WI 53081 (902) 802-8426 |
| 1225534373 | MICHAEL EATON DO Individual | Physical Medicine & Rehabilitation | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1457669582 | NAOHIDE ARAKAKI CRNA Individual | Nurse Anesthetist, Certified Registered | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1578714317 | PAMELA A MENTINK PA Individual | Physician Assistant | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 282-2530 |
| 1659802197 | DR. DANIEL KOPATICH D.O. Individual | Emergency Medicine | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
| 1992334759 | LAURA R SLYKHOUSE MD Individual | Hospitalist | 3400 UNION AVE SHEBOYGAN, WI 53081 (920) 802-2100 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063862076, enumerated in the NPI registry as an "individual" on June 21, 2016
The provider is located at 3400 Union Ave Sheboygan, Wi 53081 and the phone number is (920) 828-2530
The provider's speciality is Chiropractor with taxonomy code 111N00000X
The provider has more than 11 years of experience. He graduated from New York Chiropractic College in 2015.
The provider might be accepting Accepts: Aspirus Health Plan, Common Ground Healthcare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Chiropractic manipulative treatment, 1-2 spinal regions and Chiropractic manipulative treatment, 3-4 spinal regions.
This NPI record was last updated on June 21, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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