Individual provider Active NPI

Justin Cody Bohrer, MD

  • Maternal & Fetal Medicine Physician
  • Sturgeon Bay, WI
National Provider Identifier
1114155041
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
60108-20 Issued in WI
Practice address
3819 Bay Shore Dr
Sturgeon Bay, WI 54235-2362
Phone
(608) 514-4199
NPI assigned
Jun 30, 2009
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60108 WI
Maternal & Fetal Medicine Physician 207VM0101X 60108-20 WI Primary

Addresses

Primary practice location

3819 Bay Shore Dr
Sturgeon Bay, WI 54235-2362

Mailing address

3819 Bay Shore Dr
Sturgeon Bay, WI 54235-2362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA, MT3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130411000588 WI Practitioner - Obstetrics/Gynecology 7113163478 Reassigns benefits to 1 organization
I20230523002293 IA Practitioner - Obstetrics/Gynecology 7113163478 Reassigns benefits to 1 organization
I20231215002400 MT Practitioner - Obstetrics/Gynecology 7113163478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1440 Pleasant St
Suite 1
Des Moines, IA 50314-1728
Phone (515) 241-8383

1836 S Ave
La Crosse, WI 54601-5429
Phone (608) 783-7300

1910 S Ave
La Crosse, WI 54601-5467
Phone (608) 782-7300

2575 S 7TH St
Bethany Riverside
La Crosse, WI 54601-5429
Phone (608) 775-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60108WIMDObstetrics & Gynecology Physician
60108-20WIMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jun 1, 2023 Accepting new patients
Billings Clinic CurrentSince Oct 28, 2023 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Obstetrics & Gynecology Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Billings Clinic Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Sep 21, 2020 Accepting new patients
Billings Clinic CurrentSince Oct 28, 2023 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Sep 21, 2020 Accepting new patients
Central Iowa Hospital Corporation Maternal & Fetal Medicine CurrentSince Jun 1, 2023 Accepting new patients

Locations

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1440 Pleasant St
Ste 1
Des Moines, IA 50314
Phone (515) 241-8383

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100

Interoperability endpoints

  • Direct secure messaging: jbohrer264425@direct.unitypoint.org
  • Direct secure messaging: jbohrer473345@direct.emplifyhealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1114155041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 BAY SHORE DR",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 BAY SHORE DR",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542352362",
            "telephone_number": "608-514-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHRER",
        "first_name": "JUSTIN",
        "middle_name": "CODY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-30",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "60108",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "WI",
            "license": "60108-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.