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

NPI Status: Active since December 05, 2006

Contact Information

820 E GRANT ST
SUITE S 250
APPLETON, WI
ZIP 54911
Phone: (920) 734-9600
Fax: (920) 734-4773

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  • Organization
  • Specialist
  • CLIA Number: 52D2260803
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 05-22-2026

About FOX VALLEY PULMONARY MEDICINE, LLC

This page provides the complete NPI Profile along with additional information for Fox Valley Pulmonary Medicine, Llc, a provider established in Appleton, Wisconsin operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1265590848 assigned on December 2006. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated April 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Carolina D Bryant (Hr)

NPI
1265590848
Provider Name
FOX VALLEY PULMONARY MEDICINE, LLC
Entity Type
Organization
Location Address
820 E GRANT ST SUITE S 250 APPLETON, WI 54911
Location Phone
(920) 734-9600
Location Fax
(920) 734-4773
Mailing Address
820 E GRANT ST SUITE S250 APPLETON, WI 54911
Mailing Phone
(920) 734-9600
Mailing Fax
(920) 734-4773
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
04-14-2026
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

CAROLINA D BRYANT

Authorized Official Title
HR
Authorized Official Phone
(920) 560-5756

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
32879600MEDICAID (05)WI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
52D2260803
Facility Type
Physician Office
Certificate Effective Date
May 23, 2024
Certificate Expiration Date
May 22, 2026
Laboratory Director
DR. MICHAEL MAGUIRE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Fox Valley Pulmonary Medicine, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1265590848, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
8
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 6 → 12 → 3 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 2 + 5 + 1 + 0 + 9 + 0 + 8 + 8 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1265590848.

Other Providers at the Same Location


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

Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner (Acute Care)
820 E GRANT ST
APPLETON, WI 54911
Family Medicine
820 E GRANT ST
APPLETON, WI 54911
Physician Assistant
820 E GRANT ST
APPLETON, WI 54911
Orthopaedic Surgery
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Psychologist
820 E GRANT ST
APPLETON, WI 54911
Family Medicine (Sports Medicine)
820 E GRANT ST
APPLETON, WI 54911
Family Medicine
820 E GRANT ST
APPLETON, WI 54911
Nurse Practitioner
820 E GRANT ST
APPLETON, WI 54911
Physical Medicine & Rehabilitation
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Specialist/Technologist (Athletic Trainer)
820 E GRANT ST
APPLETON, WI 54911
Speech-Language Pathologist
820 E GRANT ST
APPLETON, WI 54911
Physical Therapist
820 E GRANT ST
APPLETON, WI 54911
Internal Medicine
820 E GRANT ST, SUITE S250
APPLETON, WI 54911
Pain Medicine (Interventional Pain Medicine)
820 E GRANT ST, SUITE 335
APPLETON, WI 54911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265590848, enumerated as an "organization" on December 05, 2006.

The provider is located at 820 E GRANT ST SUITE S 250 APPLETON, WI 54911 and the phone number is (920) 734-9600.

Specialist with taxonomy code 174400000X.

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