(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC
NPI 1306389408
Chiropractor in Beaver Dam, WI

Active since November 22, 2016
211 CORPORATE DR, SUITE H, BEAVER DAM, WI 53916(920) 821-0071(920) 821-0072 Get Directions Write a Review

NPPES record last updated: March 2, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2022, Jan 9, 2020, May 13, 2019 and 2 more (5 updates tracked since 2016).

About (inactive) Marshfield Medical Center - Beaver Dam Chiropractic NPPES

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

(INACTIVE) MARSHFIELD MEDICAL CENTER - BEAVER DAM CHIROPRACTIC (NPI 1306389408) is a healthcare organization registered as a chiropractor in Beaver Dam, Wisconsin and active in the NPI registry since November 2016. The organization lists Gordon T Edwards, Cfo/coo/ao, as its authorized official.

NPPES Registry Identity

NPI1306389408
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameBEAVER DAM COMMUNITY HOSPITALS INC
Location Address211 CORPORATE DR, SUITE HBeaver Dam, WI 53916
Mailing Address1000 N Oak Ave, Attn: Provider Enrollment Services/wwpMarshfield, WI 54449-5703 · (715) 389-0660
Fax(920) 821-0072
Organization SubpartYesParent: Marshfield Clinic Health System Inc
Authorized OfficialGordon T EdwardsCfo/coo/ao · (715) 387-5823
Enumeration DateNovember 22, 2016
Last NPPES UpdateMarch 2, 20225 updates tracked since enumeration
NPPES CertifiedMarch 2, 2022
✔ NPI 1306389408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
211 CORPORATE DR, Beaver Dam, WI 53916

Other Names 1

Doing Business As(inactive) Marshfield Medical Center - Beaver Dam Chiropractic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

(inactive) Marshfield Medical Center - Beaver Dam Chiropractic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,444

Medicare enrollment records show 1,444 clinicians reassign Medicare billing to (inactive) Marshfield Medical Center - Beaver Dam Chiropractic, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 51 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 65

Nurse Practitioner216
Certified Registered Nurse Anesthetist (CRNA)159
Emergency Medicine131
Physical Therapist in Private Practice107
Anesthesiology81
Hospitalist76
Obstetrics/Gynecology58
Family Practice52
57 other specialties564

Nearest to this location (20)

See all 1,444
Chiropractic
NPI 1518989631
211 CORPORATE DR SUITE H
Beaver Dam, WI 53916
(920) 821-0071
✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1184933756
134 CORPORATE DR
Beaver Dam, WI 53916
(920) 356-1000
✔ PECOS✔ Accepts Medicare0.2 mi
Ophthalmology
NPI 1700805454
240 CORPORATE DRIVE
Beaver Dam, WI 53916
(920) 887-1151
✔ PECOS0.4 mi
Optometry
NPI 1588747547
240 CORPORATE DRIVE
Beaver Dam, WI 53916
(920) 887-1151
✔ PECOS✔ Accepts Medicare0.4 mi
Optometry
NPI 1639481534
240 CORPORATE DRIVE
Beaver Dam, WI 53916
(920) 887-1151
✔ PECOS✔ Accepts Medicare0.4 mi
Ophthalmology
NPI 1932125093
240 CORPORATE DRIVE
Beaver Dam, WI 53916
(920) 887-1151
✔ PECOS✔ Accepts Medicare0.4 mi
Physical Therapist in Private Practice
NPI 1336599224
803 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-4039
1.4 mi
Internal Medicine
NPI 1972852390
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts Medicare1.4 mi
Clinical Social Worker
NPI 1992458376
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6558
✔ PECOS✔ Accepts Medicare1.4 mi
Interventional Cardiology
NPI 1437123049
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 356-6588
✔ PECOS✔ Accepts Medicare1.4 mi
Occupational Therapist in Private Practice
NPI 1184987364
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-4039
1.4 mi
Anesthesiology
NPI 1942399480
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts Medicare1.4 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1336766971
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS1.4 mi
Nurse Practitioner
NPI 1659700375
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6284
✔ PECOS✔ Accepts Medicare1.4 mi
Pathology
NPI 1245200427
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS1.4 mi
Psychiatry
NPI 1083930879
707 UNIVERSITY AVE PSYCHIATRY
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS1.4 mi
Podiatry
NPI 1467009233
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 219-4009
✔ PECOS✔ Accepts Medicare1.4 mi
Qualified Speech Language Pathologist
NPI 1972288017
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
1.4 mi
Dermatology
NPI 1316365737
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-7181
✔ PECOS✔ Accepts Medicare1.4 mi
Pulmonary Disease
NPI 1689868796
707 S UNIVERSITY AVE
Beaver Dam, WI 53916
(920) 887-6612
✔ PECOS✔ Accepts Medicare1.4 mi
See all 1,444 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beaver Dam Community Hospitals Inc's NPI number?

The NPI number for Beaver Dam Community Hospitals Inc is 1306389408. It was assigned to this organization in the NPPES registry on November 22, 2016. The provider is doing business as (inactive) Marshfield Medical Center - Beaver Dam Chiropractic.

Where is Beaver Dam Community Hospitals Inc located?

Beaver Dam Community Hospitals Inc is located at 211 Corporate Dr Suite H, Beaver Dam, WI 53916. The listed phone number is (920) 821-0071.

What is Beaver Dam Community Hospitals Inc's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Beaver Dam Community Hospitals Inc enrolled in Medicare?

Yes. Beaver Dam Community Hospitals Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaver Dam Community Hospitals Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,444 clinicians in 65 Medicare specialties reassign their Medicare billing to Beaver Dam Community Hospitals Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (216), Certified Registered Nurse Anesthetist (CRNA) (159) and Emergency Medicine (131). Of these, 1 practice at this address and 51 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Beaver Dam Community Hospitals Inc accept?

Health plans from Security Health Plan list Beaver Dam Community Hospitals Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Beaver Dam Community Hospitals Inc was last updated on March 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.