NPIMap

Organization Active NPI

Bone & Joint Clinic S.C.

Doing business as Bone & Joint Clinic S.C. @ Plover

  • Durable Medical Equipment & Medical Supplies
  • Plover, WI
National Provider Identifier
1366091977
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BONE & JOINT CLINIC S.C.
Doing business as
Bone & Joint Clinic S.C. @ Plover
Practice address
1767 Park Ave
Suite 100
Plover, WI 54467
Phone
(715) 344-1260
Fax
(715) 393-0390
NPI assigned
Sep 6, 2019
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Dr. Adam Lee Halverson, DONPI 1922340967
Title
President
Phone
(715) 359-6442

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

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 1

  • Bone & Joint Clinic S.C. @ Plover Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191230001673 WI DME Supplier - Physician - General Practice 3678541919 Practice locations: Plover, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Bone Joint Clinic SC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1767 Park Ave
#100
Plover, WI 54467
Phone (715) 344-1260

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": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1366091977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674301",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE",
            "address_2": "SUITE 100",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "54467",
            "telephone_number": "715-344-1260",
            "fax_number": "715-393-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONE & JOINT CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-359-6442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bone & Joint Clinic S.C. @ Plover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bone & Joint Clinic S.C. @ Plover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plover, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.