Bjosc, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

BJOSC, LLC

Doing business as

BJOSC at Plover

Practice address

1767 Park Ave Ste 300
Plover, WI 54467-4301

Phone

(715) 359-6442

Fax

(715) 393-0390

NPI assigned

May 17, 2016

Last updated

Mar 3, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Adam Halverson, DONPI 1922340967

Title

President

Phone

(715) 359-6442

Specialties & licenses 1

Addresses

Other names 1

• BJOSC at Plover Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• Bjosc, LLC

  dba Bone & Joint Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1053585125

  8022184902

  Same PAC ID
• Bjosc, LLC

  dba BJOSC, LLC @ Westwood

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1447916259

  8022184902

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Bjosc, LLC

  dba Bone & Joint Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Wausau, WI
  • NPI 1053585125

  O20080828000360

  Same enrollment

Listed as

Bjosc LLC at PloverCCN 52C0001123

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Lindsay Suzanne Novak, PA-C

  • Physician Assistant
  • Wausau, WI
  • NPI 1013307297
  Medicare reassignment NPD
• Adam Lee Halverson, DO

  • Orthopaedic Foot and Ankle Surgery Physician
  • Wausau, WI
  • NPI 1922340967
  Authorized official Same address or phone

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1477900710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE STE 300",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674301",
            "telephone_number": "715-344-1260",
            "fax_number": "715-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1767 PARK AVE STE 300",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544674301",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJOSC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "ADAM",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BJOSC at Plover",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BJOSC at Plover",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Behnke, D.D.S.
• Hannah M Bemke, RDH
• Anneliese Bessette, APNP
• Sachan Bhatia
• Elizabeth Rae Birr, DDS
• Bone & Joint Clinic S.C. (Bone & Joint Clinic S.C. @ Plover)
• BR Krygowski MD Inc
• Hannah E Bunting, MSW, LCSW
• Doreen Diane Butterfield, LPN
• C. Thomas Deroche, DPM, LLC

• Ambulatory Surgical Clinic/Center in Plover, WI
• Providers in Plover, WI by specialty
• Ambulatory Surgical Clinic/Center in Wisconsin

• 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.