TANNER J BOMMERSBACH MD
NPI 1770088676
Psychiatry & Neurology - Child & Adolescent Psychiatry in Madison, WI

Q: What is Tanner Bommersbach's NPI number?

The NPI number for Tanner Bommersbach is 1770088676. It was assigned to this individual provider in the NPPES registry on March 24, 2018.

Q: What is Tanner Bommersbach's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Active since March 24, 2018PECOS EnrolledAccepts Medicare Assignment

6001 RESEARCH PARK BLVD, MADISON, WI 53719(608) 232-3171(608) 262-9246 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2024, Jul 17, 2024, Jul 5, 2024 and 2 more (5 updates tracked since 2018).

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About Tanner J Bommersbach Md NPPES

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

TANNER J BOMMERSBACH MD (NPI 1770088676) is an individual child & adolescent psychiatry provider in Madison, Wisconsin, licensed in Wisconsin (84021) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rochester, and is a graduate of Mayo Medical School (2018).

NPPES Registry Identity

NPI1770088676

Entity TypeIndividualMale

Primary Taxonomy2084P0804X

Provider Legal NameTANNER J BOMMERSBACHCredential: MD

Location Address6001 RESEARCH PARK BLVDMadison, WI 53719-1176

Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531

Phone(608) 232-3171

Fax(608) 262-9246

Sole ProprietorNo

Medical School CMSMayo Medical SchoolGraduated 2018

Enumeration DateMarch 24, 2018

Last NPPES UpdateDecember 12, 20245 updates tracked since enumeration

NPPES CertifiedDecember 12, 2024

✔ NPI 1770088676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in WI · 84021✔ Licensed in MN · 70965

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

6001 RESEARCH PARK BLVD, Madison, WI 53719

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Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanner J Bommersbach Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183977820

PECOS Enrollment IDI20240726001721

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SHARON K. FINLAYSON NP

Nurse Practitioner