Organization Active NPI

Rockwood Family Health LLC

  • Family Medicine Physician
  • Jefferson, WI
National Provider Identifier
1013913532
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28978 Issued in WI
Legal business name
ROCKWOOD FAMILY HEALTH LLC
Practice address
152 W Garland St
Jefferson, WI 53549-2029
Phone
(920) 674-4141
Fax
(920) 674-6714
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Franklin Bradford Meyers, M.D.
Title
Sole Member
Phone
(920) 674-4141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 28978 WI Primary

Addresses

Primary practice location

152 W Garland St
Jefferson, WI 53549-2029

Mailing address

152 W Garland St
Jefferson, WI 53549-2029
Phone (920) 674-4141

Other identifiers 4

IdentifierTypeStateIssuer
K3OtherWIDEAN HEALTH PLAN
1000245OtherWIPHYSICIANS PLUS INS CORP
21314900MedicaidWI
080184575OtherMEDICARE RAILROAD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1013913532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 W GARLAND ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492029",
            "telephone_number": "920-674-4141",
            "fax_number": "920-674-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 W GARLAND ST",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535492029",
            "telephone_number": "920-674-4141",
            "fax_number": "920-674-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD FAMILY HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "MEYERS",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_middle_name": "BRADFORD",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "920-674-4141",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "K3",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS INS CORP",
            "identifier": "1000245",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21314900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080184575",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.