Alexander Anton Provost, D.C.
NPI 1306434337ActiveIndividual· Chiropractor· Shawano, WI
Chiropractor (D.C.) with Bad River Band of Lake Superior Tribe of Chippewa Indians Wis, practicing in Shawano, Wisconsin. Enrolled in Medicare as practitioner - chiropractic and practitioner - chiropractic.
Overview
| NPI | 1306434337 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.C. |
| Sole proprietor | No |
| NPI issued | Jan 5, 2021 |
| Last updated in NPPES | Jan 5, 2021 |
| Certified by provider | Jan 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | 5599-12 | WI |
| Chiropractor | 111N00000X | 6646 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Chiropractic (TX); Practitioner - Chiropractic (WI) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Chiropractic |
Medical group
- Bad River Band of Lake Superior Tribe of Chippewa Indians WisAshland, WI · 15 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 18 chiropractors in Shawano · All chiropractors in Wisconsin