BRADLEY S BOETTCHER MD
NPI 1487666947
Family Medicine in Wisconsin Rapids, WI
About Bradley S Boettcher Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY S BOETTCHER MD (NPI 1487666947) is an individual family medicine provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (31272) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bradley S Boettcher Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Bradley Boettcher reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wisconsin Rapids, WI 54494
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Aspirus Medical Group, Inc.
- 415 clinicians in this Medicare group
Stevens Point, WI 54482
- Reassigned Medicare billing, Wisconsin enrollment
- 633 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54494 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WISCONSIN RAPIDS, WI 54494
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 Bradley Boettcher's NPI number?
The NPI number for Bradley Boettcher is 1487666947. It was assigned to this individual provider in the NPPES registry on August 13, 2006.
Where is Bradley Boettcher located?
Bradley Boettcher practices at 2031 Peach St, Wisconsin Rapids, WI 54494. The listed phone number is (715) 423-0122.
What is Bradley Boettcher's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bradley Boettcher enrolled in Medicare?
Yes. Bradley Boettcher is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Bradley Boettcher's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Boettcher reassigns Medicare benefits to 2 organizations: Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI) and Aspirus Wausau Hospital, Inc. (Stevens Point, WI). Each 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 Bradley Boettcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bradley Boettcher was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Bradley S Boettcher, MD · NPI 1487666947
Family Medicine physician in Wisconsin Rapids, Wisconsin. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1487666947 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 31272 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2031 PEACH ST, Wisconsin Rapids, WI 54494-5181
- **Phone:** (715) 423-0122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Aspirus Riverview Hospital & Clinics, Inc. (NPI 1184176059, Wisconsin Rapids, WI); Aspirus Wausau Hospital, Inc. (NPI 1275886749, Stevens Point, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 4, 2012
- **Other identifiers:** Medicare OSCAR/certification 000203003 (WI); Medicaid 31647300 (WI); Medicare ID-Type Unspecified 000837005 (WI); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1487666947) · Data from the CMS NPPES public registry.