Boyd Eric Erdman, M.D.

Primary specialty

Phlebology PhysicianTaxonomy code 202K00000X

License

40938-020 Issued in WI

Practice address

114 E Main St Ste 115
Waunakee, WI 53597-1274

Phone

(608) 831-7003

Fax

(608) 831-7044

NPI assigned

Apr 10, 2007

Last updated

Nov 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2013 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Madison Vein and Laser Institiute, S.C.

  • Medical Specialty Clinic/Center
  • Middleton, WI
  • NPI 1982890349
  NPD Authorized official
• Wisconsin Phlebology Medical Group SC

  • Surgery Physician
  • Mequon, WI
  • NPI 1295780492

  Phlebology

  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1508989716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST STE 115",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971274",
            "telephone_number": "608-831-7003",
            "fax_number": "608-831-7044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E MAIN ST STE 115",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971274",
            "telephone_number": "608-831-7003",
            "fax_number": "608-831-7044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "BOYD",
        "middle_name": "ERIC",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "WI",
            "license": "40938-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikara Durst, LPC
• Suzanne J Dynneson, APNP
• Kristin Lynn Eklof, DPT
• William Edward Emmons, R. PH.
• Kristin Ensminger, LCSW
• Anthony C Evans Jr., MD
• Megan Annette Farley, PH.D.
• Karmen Feist, D.C.
• Kristy Foree, CCC-SLP
• Katherine Marie Fox, M.D.

• Phlebology Physician in Waunakee, WI
• Providers in Waunakee, WI by specialty
• Phlebology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.