Organization Active NPI

Advent Health Medical Group Primary Care at Durand North

  • Family Medicine Physician
  • Durand, WI
National Provider Identifier
1326729914
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ADVENT HEALTH MEDICAL GROUP PRIMARY CARE AT DURAND NORTH
Practice address
905 7TH Ave W
Durand, WI 54736
Phone
(715) 672-5981
NPI assigned
Jul 27, 2023
Last updated
Jul 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Authorized official

Name
Brady P Didion, MDNPI 1609141779
Title
Medical Doctor
Phone
(715) 672-5981

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

905 7TH Ave W
Durand, WI 54736

Mailing address

905 7TH Ave W
Durand, WI 54736
Phone (715) 672-5981

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D0676366Adventhealth Medical Group Primary Care905 7TH Ave West, Durand, WI 54736Certificate of waiverMay 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690416000000",
    "number": "1326729914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 7TH AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "54736",
            "telephone_number": "715-672-5981",
            "fax_number": "715-672-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 7TH AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "54736",
            "telephone_number": "715-672-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENT HEALTH MEDICAL GROUP PRIMARY CARE AT DURAND NORTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A",
        "authorized_official_last_name": "DIDION",
        "authorized_official_first_name": "BRADY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "715-672-5981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durand, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.