BRIAN J DVORAK (NPI# 1588777999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588777999 |
| Entity Type | Individual |
| Full Name | BRIAN J DVORAK |
| Credential | PT |
| Practice Address |
118 W Maple Ave Beaver Dam WI 53916-2104 |
| Practice Telephone | 9203561000 |
| Practice Fax Number | 9203560719 |
| Mailing Telephone | 9203561000 |
| Mailing Fax Number | 9203560719 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-12-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10392 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40452200 | 05 | |
| WI | DEAN HEALTH SYSTEMS | 61270 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912972688 | Brian Robert Dvorak | Podiatrist | 1350 Boyson Rd, Suite #d3, Hiawatha, IA 52233-2211 | 2006-02-17 |
| 1942280193 | Brian John Dvorak | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4364 | 2006-01-21 |
| Street Address |
118 W MAPLE AVE |
| City | BEAVER DAM |
| State | WI |
| Zip Code | 53916-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588032767 | Holly Landry | Physical Therapist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2015-09-04 |
| 1093137416 | Prairie Ridge Health, Inc. | Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2014-01-21 |
| 1336425016 | Dean Health Systems, Inc | Durable Medical Equipment & Medical Supplies | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2011-10-26 |
| 1184933756 | Judy A Macdonald | Nurse Practitioner | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2010-09-30 |
| 1508029174 | Andrew T Tratar | Physician Assistant | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2008-07-03 |
| 1679633580 | Kristine Braker | Nurse Practitioner | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-12-11 |
| 1912077140 | Thomas Carl Smedberg | Orthopaedic Surgery | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-11-08 |
| 1467565978 | Family & Sports Orthopaedic Center, LLC | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1932212461 | Robert A Coe | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| 1366555815 | David C Barton | Specialist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538718283 | Paulette Neibauer | Technician | N7262 Farwell Rd., Beaver Dam, WI 53916 | 2019-09-05 |
| 1902336597 | Tricounty Homecare Inc | In Home Supportive Care | 140 Corporate Dr Ste 2, Beaver Dam, WI 53916 | 2017-06-15 |
| 1528502754 | Jessica Marie Blatz | Counselor | 809 Park Aveune, Beaver Dam, WI 53916 | 2016-12-07 |
| 1376090886 | Beaver Dam Hearing Care, LLC | Hearing Aid Equipment | 705 University Ave, Suite 170, Beaver Dam, WI 53916 | 2016-09-01 |
| 1275902546 | Beaver Dam Community Hospitals Inc | Pharmacy | 705 S University Ave Ste 180, Beaver Dam, WI 53916 | 2015-09-17 |
| 1609242825 | Tami Joe Delisle | Counselor | 207 North Spring Street, Beaver Dam, WI 53916 | 2015-08-12 |
| 1366833394 | Beaver Dam Community Hospitals, Inc | Surgery | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | 2015-02-12 |
| 1326471608 | Raquel Rodriguez-guzman | Pharmacist | 205 La Crosse Street, Beaver Dam, WI 53916 | 2013-08-09 |
| 1558608828 | Mary Y Kunz | Licensed Practical Nurse | 6550 N Highway 151 Lot 63, Beaverdam, WI 53916 | 2013-01-07 |
| 1881938454 | Brock Holden Slinger | Physical Therapist | 205 Monroe St. #13, Beaver Dam, WI 53916 | 2012-11-20 |
| Find all providers in zip 53916 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265984413 | Kayla Sharpee | Physical Therapist | 707 S University Ave, Beaver Dam, WI 53916-3027 | 2016-11-03 |
| 1508979972 | Micheal E Ceizyk | Physical Therapist | 118 W Maple Ave, Beaver Dam, WI 53916-2104 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281760 | Devin Rorabeck | Physical Therapist | 1355 Awatukee Trl, Hudson, WI 54016-6936 | 2020-07-03 |
| 1235755265 | Andrew Roland Olson | Physical Therapist | 1507 W Knapp St Unit 1, Rice Lake, WI 54868-1384 | 2020-06-25 |
| 1730641887 | Jessica Solfest | Physical Therapist | 301 S Westfield Rd, Madison, WI 53717-1730 | 2019-04-05 |
| 1093294068 | Andrew Bidney | Physical Therapist | 945 N 12th St Rm 1100, Milwaukee, WI 53233-1305 | 2018-08-10 |
| 1972092989 | Renew Physical Therapy and Wellness, LLC | Physical Therapist | N2919 County Road Qq, Waupaca, WI 54981 | 2018-05-04 |
| 1144753542 | Promotion Physical Therapy | Physical Therapist | 2836 Steamboat Springs Run, Green Bay, WI 54313-9220 | 2017-04-04 |
| 1962959114 | Mary E Campbell | Physical Therapist | 1249 W Liebau Rd Ste 100, Mequon, WI 53092-3397 | 2016-09-06 |
| 1255781597 | Patrick Christopherson | Physical Therapist | 11702 W North Ave, Wauwatosa, WI 53226-2132 | 2016-06-17 |
| 1730565037 | Julia Badding | Physical Therapist | 14625 W Capitol Dr Ste 200, Brookfield, WI 53005-2318 | 2015-08-10 |
| 1811221344 | Mariann Schuster | Physical Therapist | 4125 N 124th St Ste A, Brookfield, WI 53005-1837 | 2009-09-30 |
| Find all providers with the same taxonomy | ||||
| City | BEAVER DAM |
| Zip Code | 53916 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.