MR. KEVIN RICHARD BIDINGER SAC-IT NPI 1730515339

NPI Information

NPI: 1730515339
Provider Name: MR. KEVIN RICHARD BIDINGER, SAC-IT
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
810 W OLIN AVE
MADISON, WI
ZIP 53715
Phone: (608) 255-5922
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MR. Kevin Richard Bidinger, SAC-IT is an addiction (substance use disorder) counselor in Madison, WI. MR. Kevin Richard Bidinger, SAC-IT NPI is 1730515339. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

810 W OLIN AVE
MADISON, WI
ZIP 53715-142
Phone: (608) 255-5922
Fax: (608) 255-0340

The enumeration date for this NPI number is 9/16/2013 and was last updated on 9/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	324500000X	Substance Abuse Rehabilitation Facility		16954-130	WISCONSIN	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	16954-130	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1417112780	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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