Individual provider Active NPI

Joshua E Bettner I, D.O.

  • Family Medicine Physician
  • Doral, FL
National Provider Identifier
1245658475
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS19348 Issued in FL
Practice address
8700 NW 36TH Street, Suite 107
Doral, FL 33178
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 65084-21 WI
Family Medicine Physician 207Q00000X OS19348 FL Primary

Addresses

Primary practice location

8700 NW 36TH Street, Suite 107
Doral, FL 33178

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

675 W Washington Ave
Madison, WI 53703
Phone (608) 257-9700

Other practice location 2

10 Tower Dr
Sun Prairie, WI 53590
Phone (608) 825-3008

Other practice location 3

10 Tower Dr
Sun Prairie, WI 53590
Phone (608) 825-3008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20171115001135 WI Practitioner - Family Practice 8426346222 Reassigns benefits to 1 organization
I20221130002776 FL Practitioner - Family Practice 8426346222 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10451 NW 117TH Ave
Suite 201
Medley, FL 33178-1118

PO Box
Pasadena, CA 91189

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS19348FLMDFamily Medicine Physician
65084-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health Cooperative of South Central Wisconsin CurrentSince Nov 25, 2019 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

675 W Washington Ave
Madison, WI 53703
Phone (608) 257-5178

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

1265 John Q Hammons Dr
Madison, WI 53717

Interoperability endpoints

  • Direct secure messaging: jbettner711677@direct.unitypoint.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1245658475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 NW 36TH STREET, SUITE 107",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33178",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 W Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53703",
            "country_code": "US",
            "telephone_number": "608-257-9700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "53590",
            "country_code": "US",
            "telephone_number": "608-825-3008",
            "fax_number": "608-825-3786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Tower Dr",
            "address_purpose": "LOCATION",
            "city": "Sun Prairie",
            "state": "WI",
            "postal_code": "53590",
            "country_code": "US",
            "telephone_number": "608-825-3008",
            "fax_number": "608-825-3786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BETTNER",
        "first_name": "JOSHUA",
        "middle_name": "E",
        "name_suffix": "I",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "65084-21",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS19348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

Verify at the official NPI Registry.