BRUCE A CARLSON (NPI# 1700877396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700877396 |
| Entity Type | Individual |
| Full Name | BRUCE A CARLSON |
| Credential | MD |
| Practice Address |
1501 Thompson St Bloomer WI 54724-1257 |
| Practice Telephone | 7155682000 |
| Mailing Telephone | 7155682000 |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-03-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 20840 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1700877396 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405851 | Bruce Carlson | Pharmacist | 598 E Highway 290, Dripping Springs, TX 78620-3931 | 2010-08-27 |
| 1427263599 | Bruce Wayne Carlson | Technician, Other | 5946 Nw 88th Ave, Tamarac, FL 33321-4268 | 2007-05-11 |
| 1508912288 | Bruce L Carlson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2007-01-26 |
| 1669537106 | Bruce D Carlson | Family Medicine | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2006-12-26 |
| 1891867024 | Bruce Alan Carlson | Dentist | 267 Main St, Lansing, IA 52151 | 2006-11-14 |
| 1578522108 | Bruce K Carlson | Dentist | 1875 Dempster St, Suite 495, Park Ridge, IL 60068-1186 | 2006-03-22 |
| 1386635449 | Bruce E Carlson | Internal Medicine | 22n285 Pepper Rd, 407, Lake Barrington, IL 60010-5982 | 2005-10-28 |
| Street Address |
1501 THOMPSON ST |
| City | BLOOMER |
| State | WI |
| Zip Code | 54724-1257 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427058122 | Ronald J Reimer | Physician Assistant | 1501 Thompson St, Bloomer, WI 54724 | 2005-07-26 |
| 1528627320 | Abbigail Ristow | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-06-06 |
| 1952867426 | Jaclyn Kay Kron | Occupational Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2019-02-20 |
| 1386121598 | Benjamin Michael Hierlmeier | Pharmacist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2018-07-20 |
| 1134630635 | Christopher Ryan Thewis | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-10-24 |
| 1851827752 | Kimberly Carol Nicolai | Physical Therapist | 1501 Thompson St, Bloomer, WI 54724 | 2017-05-11 |
| 1548796444 | Mayo Clinic Health System-northwest Wisconsin Region, Inc. | Clinic/Center | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-05-11 |
| 1598299331 | Brandy Clarice Zimmerman | Nurse Practitioner | 1501 Thompson St, Bloomer, WI 54724-1257 | 2017-04-19 |
| 1184007403 | Autumn Schlichting | Speech-Language Pathologist | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-07-06 |
| 1245620475 | Bloomer Healthcare, LLC | Skilled Nursing Facility | 1501 Thompson St, Bloomer, WI 54724-1257 | 2015-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093064545 | Robin Lachance | Physical Therapy Assistant | 1731 17th Avenue, Bloomer, WI 54724 | 2012-08-30 |
| 1104051614 | Nancy L Stiehm | Home Health Aide | 721 Priddy St, Bloomer, WI 54724 | 2009-05-28 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1609956481 | Timothy John Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1982773867 | Peterson Chiropractic Clinic Ltd | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-11-07 |
| 1063592848 | Ronald Daniel Peterson | Chiropractor | 10135 Hwy Ss, Bloomer, WI 54724 | 2006-10-16 |
| 1578528113 | Elena A Stringer | Family Medicine | 1711 York St, Bloomer, WI 54724 | 2006-04-18 |
| 1144209222 | Albert Wankel | Surgery | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1477533008 | Desiree Phillips | Physician Assistant | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-19 |
| 1952380032 | Richard E Gladitsch | Family Medicine | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| Find all providers in zip 54724 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578528113 | Elena A Stringer | Family Medicine | 1711 York St, Bloomer, WI 54724 | 2006-04-18 |
| 1376523936 | John Larson | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2006-01-19 |
| 1952380032 | Richard E Gladitsch | Family Medicine | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1588643662 | David R Blair | Family Medicine | 1503 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1013996107 | Kristen Ribbens Bruxvoort | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2006-01-17 |
| 1295725703 | Phillip J Skaar | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104426477 | St Gianna Molla Clinic, Inc | Family Medicine | 20 Pinewild Ct, Appleton, WI 54913-7127 | 2020-10-27 |
| 1962015552 | Callie Lund | Family Medicine | 418 Lotus St, Mosinee, WI 54455-1728 | 2020-08-25 |
| 1275159998 | Beam Healthcare, Sc | Family Medicine | 25 W Main St Fl 5, Madison, WI 53703-3399 | 2020-06-18 |
| 1487283503 | Enitza Damaris George | Family Medicine | 1906 Brackett Ave, Eau Claire, WI 54701-5042 | 2020-04-02 |
| 1093341380 | Tia Marie Vaccaro | Family Medicine | 1275 Judd Rd, Oregon, WI 53575-2573 | 2020-03-18 |
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1790323608 | Solidaritus Health Wisconsin Sc | Family Medicine | 1476 Blazing Star Blvd Ste 4, Altoona, WI 54720-4002 | 2019-12-11 |
| 1255974952 | Integrative Health Center of Central Wisconsin LLC | Family Medicine | 3205 E Washington Ave Ste A, Madison, WI 53704-4332 | 2019-10-25 |
| 1962969220 | Paladina Health, LLC | Family Medicine | Paladina Health Menomonee Falls, N84 W15787 Menomonee Avenue Suite 6, Menomonee Falls, WI 53051 | 2019-02-22 |
| 1942767298 | Paladina Health, LLC | Family Medicine | Paladina Health Sussex Beer Capitol Clinic, W222 N5700 Miller Way, Sussex, WI 53069 | 2019-02-22 |
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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.