Bone & Joint Clinic S.C.
Organization Active NPI Durable Medical Equipment & Medical Supplies · Plover, WI
NPI 1366091977 · NPPES record last updated Mar 3, 2026
Key facts
- NPI
- 1366091977
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BONE & JOINT CLINIC S.C.
- Practice address
- 1767 Park Ave
Suite 100
Plover, WI 54467 - Phone
- (715) 344-1260
- Fax
- (715) 393-0390
- NPI assigned
- Sep 6, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Adam Lee Halverson, DO
- Title
- President
- Phone
- (715) 359-6442
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 4
Practitioners 45
-
Michael Andrews, DO
-
Jordan Bartholf, PT
-
Kelsey J Brost, PA-C
-
Andrew Brian Davis, MSPT LAT
-
Kayla Degner, PT, DPT
-
Pamela E Glennon, MD
-
Jamie L Hane, OT
-
Grace Hoff, PT
-
Daniel J. Janik, PT
-
Douglas James Keele, D.O.
-
Casey Lee Lagan, M.D.
-
Carlee L Lynch, PT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20191230001673 | WI | DME Supplier - Physician - General Practice | 3678541919 | Practice locations: Plover, WI |
National Provider Directory
- Tax ID family
- Bone and Joint Clinic S
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
1767 Park Ave
Suite 100
Plover, WI 54467
Mailing address
1767 Park Ave
Plover, WI 54467-4301
Phone (715) 359-6442
Other names
- Bone & Joint Clinic S.C. @ Plover
Other providers in Plover, WI
- Hannah M Bemke
- Anneliese Bessette
- Sachan Bhatia
- Elizabeth Rae Birr
- Bjosc, LLC
- BR Krygowski MD Inc
- Hannah E Bunting
- Doreen Diane Butterfield
- C. Thomas Deroche, DPM, LLC
- Michele Caldwell
All providers in Plover, WI · Durable Medical Equipment & Medical Supplies in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2026. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.