NPIMap

Individual provider Active NPI

Bartlett J Witherspoon Jr., MD

  • Radiation Oncology Physician
  • Monroe, WI
National Provider Identifier
1295717973
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
7243 Issued in SC
Practice address
515 22ND Ave
Monroe, WI 53566-1569
Phone
(608) 324-1000
NPI assigned
Nov 17, 2005
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 72885 WI
Radiation Oncology Physician 2085R0001X 7243 SC Primary

Addresses

Primary practice location

515 22ND Ave
Monroe, WI 53566-1569

Mailing address

PO Box 2046
West Columbia, SC 29171-2046
Phone (803) 461-3000

Other practice location 1

166 Stoneridge Dr
Columbia, SC 29210-8239
Phone (803) 461-3000

Other identifiers 1

IdentifierTypeStateIssuer
072432MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address bwitherspoon454631@direct-ehr-ssmhc.com Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120130000006 SC Practitioner - Radiation Oncology 1456259407 Reassigns benefits to 1 organization
I20200403001676 WI Practitioner - Radiation Oncology 1456259407 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8243SCMDPediatric Dentist
7243SCMDPharmacist
72885WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Radiation Oncology Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jul 3, 2023 Accepting new patients
South Carolina Oncology Assoc PA Radiation Oncology CurrentSince Jun 7, 1999 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Apr 1, 2020 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jul 3, 2023 Accepting new patients
Shared Magnetic Resonance Imaging Facility, Inc CurrentSince Jul 10, 2023 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

166 Stoneridge Dr
Columbia, SC 29210
Phone (803) 296-5954

120 W Hospital Dr
West Columbia, SC 29169
Phone (803) 739-6500

707 14th St
Baraboo, WI 53913
Phone (608) 356-1400

3400 E Racine St
Janesville, WI 53546
Phone (608) 373-8000

1104 John Nolen Dr
#1
Madison, WI 53713
Phone (608) 251-6868

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Ownership & related parties

All facility ownership & control disclosures 10

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Musc Medical CenterCharleston, SC, CCN 420004 Hospital Corporate Director Jan 1, 2026
Musc Health Chester Medical CenterChester, SC, CCN 420019 Hospital Corporate Director (100%) Jan 1, 2026
Musc Health Marion Medical CenterMullins, SC, CCN 42U055 Hospital Corporate Director Jan 1, 2026
Musc Health Florence Medical CenterFlorence, SC, CCN 420091 Hospital Corporate Director (100%) Jan 1, 2026
Musc Health Lancaster Medical CenterLancaster, SC, CCN 429803 Hospital Corporate Director (100%) Jan 1, 2026
Musc Health Marion Medical CenterMullins, SC, CCN 420055 Hospital Corporate Director Jan 1, 2026
Kershaw Medical CenterCamden, SC, CCN 420048 Hospital Corporate Director Jan 1, 2026
Columbia Medical Center DowntownColumbia, SC, CCN 420026 Hospital Corporate Director Jan 1, 2026
Musc Health Black River Medical CenterCades, SC, CCN 420117 Hospital Corporate Director Jan 1, 2026
Musc Health Chester Nursing CenterChester, SC, CCN 425061 Skilled nursing facility Corporate Director (100%) Jan 1, 2026

Owned or controlled facilities with NPI records 19

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 19

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": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1295717973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2046",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291712046",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 22ND AVE",
            "city": "MONROE",
            "state": "WI",
            "postal_code": "535661569",
            "telephone_number": "608-324-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "166 Stoneridge Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292108239",
            "country_code": "US",
            "telephone_number": "803-461-3000",
            "fax_number": "803-461-4910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITHERSPOON",
        "first_name": "BARTLETT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "72885",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "SC",
            "license": "7243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072432",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwitherspoon454631@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "bwitherspoon454631@direct-ehr-ssmhc.com",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monroe, WI

Sources for this page

Verify at the official NPI Registry.