Bryan J Webster, MD
Individual provider Active NPI Family Medicine Physician · Cottage Grove, WI
NPI 1275845497 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1275845497
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56729-20 (WI)
- Practice address
- 251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619 - Phone
- (608) 839-3515
- NPI assigned
- Jul 2, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wildwood Family Clinic SC
Practice addresses (Care Compare)
4901 Cottage Grove Rd
Madison, WI 53716-1392
Phone (608) 221-1501
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- University of Wi Hospitals & Clinics Authority
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131024000584 | WI | Practitioner - Family Practice | 3678708880 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 56729-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildwood Family Clinic SC | Family Medicine | Current |
Accepting new patients |
| Wildwood Family Clinic, SC | Family Medicine | Current | Accepting new patients |
| Planned Parenthood of Wisconsin | Past | Accepting new patients |
Locations
251 E Cottage Grove Rd
Cottage Grove, WI 53527
Phone (608) 839-3515
4901 Cottage Grove Rd
Madison, WI 53716
Phone (608) 221-1501
Interoperability endpoints
- bwebster263294@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56729-20 | WI | Yes |
Addresses
Primary practice location
251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619
Mailing address
251 E Cottage Grove Rd
Cottage Grove, WI 53527-9619
Phone (608) 824-4000
Other practice location 1
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Other practice location 2
752 N High Point Rd
Madison, WI 53717-2236
Phone (608) 824-4000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275845497 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwebster263294@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https//fhir.ssmhc.com/fhir/api/FHIR/DSTU2 | Other |
Other providers in Cottage Grove, WI
- Toijala Chiropractic Clinic LLC
- Erik C Toijala
- True Fit Physical Therapy LLC
- University of Wisconsin Medical Foundation Inc
- Deborah Ellen Uschan
- Wildwood Family Clinic, SC
- Wisconsin CVS Pharmacy LLC
- Robyn Carolyn Yakel
All providers in Cottage Grove, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.