Organization Active NPI

Wrestling With Medicine LLC

  • Family Medicine Physician
  • Harlan, IA
National Provider Identifier
1487530424
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WRESTLING WITH MEDICINE LLC
Practice address
905 Oak Rd
Harlan, IA 51537-5512
Phone
(515) 783-4248
NPI assigned
Aug 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

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

Authorized official

Name
Robert BendorfNPI 1770746620
Title
Owner
Phone
(515) 783-4248

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

905 Oak Rd
Harlan, IA 51537-5512

Mailing address

905 Oak Rd
Harlan, IA 51537-5512
Phone (515) 783-4248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20251006003475 IA Part B Supplier - Clinic/Group Practice 1355848581 Receives reassigned benefits from 2 practitioners
Practice locations: Harlan, IA
O20251219001429 MO Part B Supplier - Clinic/Group Practice 1355848581 Receives reassigned benefits from 2 practitioners
Practice locations: Joplin, MO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1487530424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 OAK RD",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515375512",
            "telephone_number": "515-783-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 OAK RD",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515375512",
            "telephone_number": "515-783-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRESTLING WITH MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "BENDORF",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-783-4248"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.