Organization Active NPI

Bjosc, LLC

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
National Provider Identifier
1447916259
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BJOSC, LLC
Practice address
400 Westwood Dr Ste 200
Wausau, WI 54401-7801
Phone
(715) 359-6442
NPI assigned
Nov 16, 2021
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, DO
Title
President
Phone
(715) 359-6442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

400 Westwood Dr Ste 200
Wausau, WI 54401-7801

Mailing address

400 Westwood Dr Ste 200
Wausau, WI 54401-7801
Phone (715) 842-7246

Other names 1

  • BJOSC, LLC @ Westwood Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405003132 WI Part B Supplier - Ambulatory Surgical Center 8022184902 Receives reassigned benefits from 1 practitioner
Practice locations: Wausau, WI

Other NPIs with the same Medicare PAC ID 2

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

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bjosc LLC Dba Bjosc LLC at WestwoodCCN 52C0001141
Medicare certification status
ActiveFrom the Provider of Services file

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
52D2258319Bjosc - Westwood400 Westwood Dr, Wausau, WI 54401Certificate of waiverApr 19, 2028

National Provider Directory

National Provider Directory

Locations

1767 Park Ave
Ste 300
Plover, WI 54467
Phone (715) 344-1260

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1447916259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WESTWOOD DR STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017801",
            "telephone_number": "715-842-7246",
            "fax_number": "715-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WESTWOOD DR STE 200",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544017801",
            "telephone_number": "715-359-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJOSC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "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": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJOSC, LLC @ Westwood",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BJOSC, LLC @ Westwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wausau, 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.
  • 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.