Active NPI
Richard Edgar Rieselbach, M.D.
- Adult Medicine Physician
- Middleton, WI
National Provider Identifier
1184155194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 13589-20
- Practice address
- 2711 Allen Blvd
Middleton, WI 53562 - Phone
- (608) 827-2308
- Fax
- (608) 827-2344
- NPI assigned
- Mar 22, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 13589-20 | WI | Primary |
Addresses
Primary practice location
2711 Allen Blvd
Middleton, WI 53562
Mailing address
2711 Allen Blvd.
BSP Clinic
Middleton, WI 53562
Phone (608) 827-2308
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13589-20 | WI | MD | Adult Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1184155194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 ALLEN BLVD.",
"address_2": "BSP CLINIC",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "53562",
"telephone_number": "608-827-2308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 ALLEN BLVD",
"city": "MIDDLETON",
"state": "WI",
"postal_code": "53562",
"telephone_number": "608-827-2308",
"fax_number": "608-827-2344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIESELBACH",
"first_name": "RICHARD",
"middle_name": "EDGAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WI",
"license": "13589-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Middleton, WI
- Brian Rice, MS,CCC-SLP
- Lisa M Richards, MSN, CNM
- Richwood Enterprises LLC Dba Richwood Transport
- Richwood Transport of California LLC (Richwood Transport)
- Richwood Transport of Iowa LLC
- Donna Andrews Rifken, PH.D.
- David J Ringdahl, MD
- Justin Rixie, D.C
- Sara Roberts, MS OTR/L
- Charles Meador Robertson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.