EDGEWOOD COLLEGE SPORTS MEDICINE
NPI 1740739622
Family Medicine in Madison, WI

Q: What is Edgewood College, Inc's NPI number?

The NPI number for Edgewood College, Inc is 1740739622. It was assigned to this organization in the NPPES registry on October 3, 2016. The provider is doing business as Edgewood College Sports Medicine.

Q: What is Edgewood College, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since October 03, 2016

1000 EDGEWOOD COLLEGE DR, MADISON, WI 53711(608) 663-4861 Get Directions Write a Review

NPPES record last updated: October 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edgewood College Sports Medicine NPPES

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

EDGEWOOD COLLEGE SPORTS MEDICINE (NPI 1740739622) is a healthcare organization registered as a family medicine in Madison, Wisconsin and active in the NPI registry since October 2016. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1740739622

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameEDGEWOOD COLLEGE, INC

Location Address1000 EDGEWOOD COLLEGE DRMadison, WI 53711-1997

Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909

Phone(608) 663-4861

Organization SubpartNo

Authorized OfficialMouzon BassAgent · (972) 367-4845

Enumeration DateOctober 3, 2016

✔ NPI 1740739622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 64261-21

Definition

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.

1000 EDGEWOOD COLLEGE DR, Madison, WI 53711

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Other Names 1

Doing Business AsEdgewood College Sports Medicine

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

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Other Providers at the Same Location NPPES 11

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

DR. MEERA RASTOGI LIC. PSYCHOLOGIST

Psychologist

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (608) 663-3376

KIRSTEN SUZANNE KOFFARNUS RN, MS, CPNP, APNP

Nurse Practitioner (Pediatrics)

1000 EDGEWOOD COLLEGE DR, EDGEWOOD COLLEGE HEALTH CENTER
MADISON, WI 53711

Dane County (608) 663-8334

TAYLOR SOMERVILLE

Specialist/Technologist (Athletic Trainer)

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (715) 558-1682

ADAM KRUEGER ATC,LAT,CSCS

Specialist/Technologist (Athletic Trainer)

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (608) 663-3326

EDGEWOOD COLLEGE HEALTH SERVICES

Clinic/Center (Student Health)

1000 EDGEWOOD COLLEGE DR, PREDOLIN 208
MADISON, WI 53711

Dane County (608) 772-3004

BRITTANY SIEGFORT LAT, ATC

Specialist/Technologist (Athletic Trainer)

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (608) 663-3471

MR. BRIAN DAVID HOEFER MS, LAT, CSCS

Specialist/Technologist (Athletic Trainer)

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (608) 663-3326

AMY MORGAN DUNLOP

Nurse Practitioner (Pediatrics)

1000 EDGEWOOD COLLEGE DR
MADISON, WI 53711

Dane County (608) 663-3262

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 Edgewood College, Inc's NPI number?

The NPI number for Edgewood College, Inc is 1740739622. It was assigned to this organization in the NPPES registry on October 3, 2016. The provider is doing business as Edgewood College Sports Medicine.

Where is Edgewood College, Inc located?

Edgewood College, Inc is located at 1000 Edgewood College Dr, Madison, WI 53711. The listed phone number is (608) 663-4861.

What is Edgewood College, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

What insurance does Edgewood College, Inc accept?

Health plans from Anthem Blue Cross and Blue Shield list Edgewood College, 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 Edgewood College, Inc was last updated on October 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.