Individual provider Active NPI

Brittany Bickelhaupt, MD

  • Physical Medicine & Rehabilitation Physician
  • Wausau, WI
National Provider Identifier
1477948834
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
73079-20 Issued in WI
Practice address
225000 Hummingbird Rd
Wausau, WI 54401-2948
Phone
(715) 359-6442
NPI assigned
Apr 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 7307920 WI
Student in an Organized Health Care Education/Training Program 390200000X 591383 TX
Physical Medicine & Rehabilitation Physician 208100000X 73079-20 WI Primary

Addresses

Primary practice location

225000 Hummingbird Rd
Wausau, WI 54401-2948

Mailing address

225000 Hummingbird Rd
Wausau, WI 54401-2948
Phone (715) 359-6442

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714001515 WI Practitioner - Physical Medicine and Rehabilitation 7113226648 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
73079-20WIMDPhysical Medicine & Rehabilitation Physician
7307920WIMDPain Medicine (Physical Medicine & Rehabilitation) Physician
591383TXMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Bone & Joint Clinic S.C. Physical Medicine & Rehabilitation CurrentSince Aug 31, 2020 Accepting new patients
Bone & Joint Clinic S.C. CurrentSince Aug 31, 2020 Accepting new patients

Locations

724 S 8th St
Medford, WI 54451
Phone (715) 748-2663

100 S Eagle Dr
Merrill, WI 54452
Phone (715) 358-1911

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

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

225000 Hummingbird Rd
Ste 300
Rib Mountain, WI 54401
Phone (715) 359-7592

225000 Hummingbird Rd
Ste 100
Rib Mountain, WI 54401
Phone 71535964421615

400 Westwood Dr
#100
Wausau, WI 54401
Phone (715) 393-0372

400 Westwood Dr
#200
Wausau, WI 54401
Phone (715) 261-0425

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bone and Joint Clinic S.C. 45 clinicians

Practice addresses (Care Compare)

400 Westwood Dr
Suite 100
Wausau, WI 54401-7801
Phone (800) 445-6442

NPI Registry JSON

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1477948834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012948",
            "telephone_number": "715-359-6442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012948",
            "telephone_number": "715-359-6442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKELHAUPT",
        "first_name": "BRITTANY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "WI",
            "license": "7307920",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "591383",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "73079-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.