Bel-Regional Home Medical Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BEL-REGIONAL HOME MEDICAL INC

Doing business as

Bellin Eye Clinic-Brillion

Practice address

964 W Ryan St
Suite E
Brillion, WI 54110

Phone

(920) 756-3242

NPI assigned

Aug 7, 2008

Last updated

Oct 14, 2009By 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

Denise K Stroobants

Title

Clinic Provider Credentialing

Phone

(920) 445-7222

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• BELLIN EYE CLINIC-BRILLION Doing business as

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.

• Jane Marie Johnson, PT

  • Physical Therapist
  • Green Bay, WI
  • NPI 1801142237
  NPD (past)
• Anita M Whitehurst, RN

  • Registered Nurse
  • Green Bay, WI
  • NPI 1912197526
  NPD (past)

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

{
    "created_epoch": "1218067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1679729834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "964 W RYAN ST",
            "address_2": "SUITE E",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "54110",
            "telephone_number": "920-756-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "964 W RYAN ST",
            "address_2": "SUITE E",
            "city": "BRILLION",
            "state": "WI",
            "postal_code": "54110",
            "telephone_number": "920-756-3242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEL-REGIONAL HOME MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-07",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "STROOBANTS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINIC PROVIDER CREDENTIALING",
        "authorized_official_telephone_number": "920-445-7222"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38727100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLIN EYE CLINIC-BRILLION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bellin Memorial Hospital Inc (FMC Brillion)
• Lindy Ruth Berglund, M.A.-SLP
• Richelle L. Bruette
• Vineta Caune-Meyer, LMT
• City of Brillion (Brillion Ambulance)

• Eyewear Supplier in Brillion, WI
• Providers in Brillion, WI by specialty
• Eyewear Supplier in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.