Individual provider Active NPI

Timothy Andrew Bernauer, M.D.

  • Diagnostic Radiology Physician
  • Appleton, WI
National Provider Identifier
1609815265
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
45233-020 Issued in WI
Practice address
2500 E Enterprise Ave
Unit C
Appleton, WI 54913
Phone
(920) 739-5642
Fax
(920) 968-0259
NPI assigned
Jun 6, 2006
Last updated
Apr 16, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 45233-020 WI Primary

Addresses

Primary practice location

2500 E Enterprise Ave
Unit C
Appleton, WI 54913

Mailing address

2500 E Enterprise Ave
Unit C
Appleton, WI 54913
Phone (920) 739-5642

Other identifiers 1

IdentifierTypeStateIssuer
34322400MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050309000475 WI Practitioner - Diagnostic Radiology 5395727622 Reassigns benefits to 9 organizations
I20240812003825 MI Practitioner - Diagnostic Radiology 5395727622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hurley Medical CenterGroup PAC ID 2961308481, 336 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Medical X-Ray Consultants LTDGroup PAC ID 3274447313, 38 clinicians
Tomah Memorial Hospital IncGroup PAC ID 6901897016, shared by 4 NPIs, 54 clinicians

Practice addresses (Care Compare)

1 Hurley PLZ
Flint, MI 48503-5902
Phone (810) 262-6744

100 County Rd B
Shawano, WI 54166-7072
Phone (920) 358-1520

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 358-1520

201 W Northland Ave
Suite a
Appleton, WI 54911-2600
Phone (920) 996-0724

225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 358-1520

257 W Saint George Ave
Grantburg, WI 54840-7827
Phone (715) 832-2200

3916 N Intertech CT
Appleton, WI 54913-6957
Phone (715) 832-2200

4130 State Rd
Suite 93
Eau Claire, WI 54701-7806
Phone (715) 830-9507

501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181

900 W Clairemont Ave
Eau Claire, WI 54701-6122
Phone (715) 858-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45233-020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Black River Health Inc CurrentSince Feb 2, 2026 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Black River Health Inc CurrentSince Feb 2, 2026 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
Black River Health Inc CurrentSince Feb 2, 2026 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Feb 1, 2003 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Apr 25, 2025 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Radiology Associates of Appleton, S.C. PastSince Mar 26, 2023 Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 Accepting new patients
Decatur Radiology Physicians Services PLLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 40)

1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130

3119 Woodman Dr
Altoona, WI 54720
Phone (715) 514-2550

1010 S Oneida St
Appleton, WI 54915
Phone (920) 733-7726

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

2400 E Capitol Dr
Appleton, WI 54911
Phone (920) 731-4101

2500 E Capitol Dr
Appleton, WI 54911
Phone (920) 738-4600

2500 E Enterprise Ave
Ste C
Appleton, WI 54913
Phone (920) 739-5642

3925 N Gateway Dr
Appleton, WI 54913
Phone (920) 702-6371

W5282 Amy Ave
Appleton, WI 54915
Phone (920) 358-1900

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

610 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-4311

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604

W12802 County Road A
Bowler, WI 54416
Phone (715) 793-4144

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

1720 Harding Ave
Ste 1
Eau Claire, WI 54701
Phone (715) 461-0463

900 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 717-4121

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500

257 W Saint George Ave
Grantsburg, WI 54840
Phone (715) 463-5353

305 E 12th St
Kaukauna, WI 54130
Phone (920) 731-3111

2005 Midway Rd
Menasha, WI 54952
Phone (920) 380-4812

N88W14275 Main St
Menomonee Fls, WI 53051
Phone (262) 415-2001

12831 N Port Washington Rd
Mequon, WI 53097
Phone (262) 643-1300

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1609815265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE",
            "address_2": "UNIT C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-739-5642",
            "fax_number": "920-968-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E ENTERPRISE AVE",
            "address_2": "UNIT C",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-739-5642",
            "fax_number": "920-968-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNAUER",
        "first_name": "TIMOTHY",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "45233-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34322400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.