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FOX VALLEY PULMONARY MEDICINE, LLC
NPI 1265590848
Specialist in Appleton, WI

Active since December 05, 2006CLIA 52D2266662 · Waiver
820 E GRANT ST, SUITE S 250, APPLETON, WI 54911(920) 734-9600(920) 734-4773 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Fox Valley Pulmonary Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOX VALLEY PULMONARY MEDICINE, LLC (NPI 1265590848) is a healthcare organization registered as a specialist in Appleton, Wisconsin and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 14, 2026 and lists Carolina D Bryant, Hr, as its authorized official.

NPPES Registry Identity

NPI1265590848
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFOX VALLEY PULMONARY MEDICINE, LLC
Location Address820 E GRANT ST, SUITE S 250Appleton, WI 54911-3483
Mailing Address820 E Grant St, Suite S250Appleton, WI 54911-3483 · (920) 734-9600 · Fax (920) 734-4773
Phone(920) 734-9600
Fax(920) 734-4773
Organization SubpartNo
Authorized OfficialCarolina D BryantHr · (920) 560-5756
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 14, 20262 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1265590848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
820 E GRANT ST, Appleton, WI 54911
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Other Identifiers 1

Medicaid32879600WI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D2266662

Fox Valley Pulmonary Medicine, Sc · Neenah, WI
Active · expires Aug 14, 2026
CLIA Number52D2266662
Laboratory TypePhysician Office
Certificate Effective DateAugust 15, 2024
Certificate Expiration DateAugust 14, 2026
Laboratory DirectorDr. Michael Maguire
Laboratory Phone(920) 734-9600
Laboratory LocationFox Valley Pulmonary Medicine, Sc200 Theda Clark Medical Plaza Ste 480, Neenah, WI 54956
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE K KRAUSE PA
Physician Assistant
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
CAROL J ROBBINS NP
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 731-5811
ERIC W ERICKSON MD
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
JON D BERGE APNP
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
MS. RACHEL A KOEPER NP
Nurse Practitioner (Acute Care)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 731-4138
DENNIS HAEN L.A.T.
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050
MRS. MARGARET L BAUER LAT
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 716-4026
DR. DAVID ALBERT LIEBELT M.D., PH.D.
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Outagamie County (920) 831-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fox Valley Pulmonary Medicine, LLC's NPI number?

The NPI number for Fox Valley Pulmonary Medicine, LLC is 1265590848. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Fox Valley Pulmonary Medicine, LLC located?

Fox Valley Pulmonary Medicine, LLC is located at 820 E Grant St Suite S 250, Appleton, WI 54911. The listed phone number is (920) 734-9600.

What is Fox Valley Pulmonary Medicine, LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Fox Valley Pulmonary Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2266662) is associated with this NPI, valid through August 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fox Valley Pulmonary Medicine, LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.