Bryce Wegner

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

1100574-30 Issued in WI

Practice address

W4497 Ebenezer Dr
Watertown, WI 53094-9406

Phone

(920) 723-8330

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1124745641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 BAYFIELD DR",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535491076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W4497 EBENEZER DR",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530949406",
            "telephone_number": "920-723-8330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "BRYCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "1100574-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Watertown Unified School District
• Watertown Urology, S.C.
• Watertown Vision, LLC
• Jessica Ann Waterworth, DC
• Rachel Weeden, PTA
• Mary Lee Wegner, LPN
• Bradley H Wehking, D.C.
• Weight in Gold Wellness S.C.
• Nicolette Ella Weisensel, MD
• Cailee Jo Weissenrieder

• Registered Nurse in Watertown, WI
• Providers in Watertown, WI by specialty
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.