WEST BEND CLINIC, INC.
NPI 1235106311
Family Medicine in West Bend, WI

NPI Status: Active since March 07, 2006

Contact Information

1700 W PARADISE DR
WEST BEND, WI
ZIP 53095
Phone: (262) 334-3451

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  • Organization
  • Family Medicine

About WEST BEND CLINIC, INC.

This page provides the complete NPI Profile along with additional information for West Bend Clinic, Inc., a primary care provider established in West Bend, Wisconsin operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1235106311 assigned on March 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. West Bend Clinic, Inc. operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Gregory G Blommel Md (Medical Director)

NPI
1235106311
Provider Name
WEST BEND CLINIC, INC.
Entity Type
Organization
Location Address
1700 W PARADISE DR WEST BEND, WI 53095
Location Phone
(262) 334-3451
Mailing Address
1700 W PARADISE DR WEST BEND, WI 53095
Mailing Phone
(262) 334-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-07-2006
Last Update Date
05-04-2011
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A primary care provider (PCP) like West Bend Clinic, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3207V00000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology

 
4207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 
5207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
6207Y00000XAllopathic & Osteopathic Physicians

Otolaryngology

 
7208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
82084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 
92085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
102085U0001XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Ultrasound

 
11208600000XAllopathic & Osteopathic Physicians

Surgery

 
12208800000XAllopathic & Osteopathic Physicians

Urology

 
13363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 
14363L00000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

GREGORY G BLOMMEL MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(262) 306-6336

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
4409930001MEDICARE NSC (07)WI 
67025MEDICARE ID-TYPE UNSPECIFIED (04)WIGROUP
21251400MEDICAID (05)WI 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1235106311, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
1
Doubled → 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 6 → 12 → 3 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 6 + 5 + 2 + 0 + 1 + 2 + 3 + 2 + 24 = 49

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1235106311.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine (Geriatric Medicine)
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Obstetrics & Gynecology
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Optometrist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Physical Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Occupational Therapist
1700 W PARADISE DR
WEST BEND, WI 53095
Registered Nurse (Administrator)
1700 W PARADISE DR
WEST BEND, WI 53095
Physician Assistant (Medical)
1700 W PARADISE DR
WEST BEND, WI 53095
Dietitian, Registered
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Internal Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095
Family Medicine
1700 W PARADISE DR
WEST BEND, WI 53095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235106311, enumerated as an "organization" on March 07, 2006.

The provider is located at 1700 W PARADISE DR WEST BEND, WI 53095 and the phone number is (262) 334-3451.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.