WEST BEND CLINIC INC. NPI 1235106311

NPI Information

  • NPI: 1235106311
  • Provider Name: WEST BEND CLINIC, INC.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1700 W PARADISE DR
    WEST BEND, WI
    ZIP 53095
  • Phone: (262) 334-3451

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NPI Details

WEST BEND CLINIC, INC. is a family medicine in West Bend, WI. The provider is 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. WEST BEND CLINIC, INC. NPI is 1235106311. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1700 W PARADISE DR
WEST BEND, WI
ZIP 53095-795
Phone: (262) 334-3451

The provider's authorized official is Gregory G Blommel .
The authorized official title is Medical Director and has the following contact phone number (262) 306-6336.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 5/4/2011.

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
1207R00000XInternal MedicineNo
2207V00000XObstetrics & GynecologyNo
3208800000XUrologyNo
4207X00000XOrthopaedic SurgeryNo
5207Y00000XOtolaryngologyNo
6208000000XPediatricsNo
7207W00000XOphthalmologyNo
82085R0202XRadiologyDiagnostic RadiologyNo
92085U0001XRadiologyDiagnostic UltrasoundNo
10208600000XSurgeryNo
11152W00000XOptometristNo
12363A00000XPhysician AssistantNo
13363L00000XNurse PractitionerNo
142084N0400XPsychiatry & NeurologyNeurologyNo
15207Q00000XFamily MedicineYes

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
14409930001MEDICARE NSCWISCONSIN
267025MEDICARE ID-TYPE UNSPECIFIEDWISCONSINGROUP
321251400MEDICAIDWISCONSIN

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: 11/21/2025

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