Active NPI
Madison Golf Performance, LLC
- Chiropractor
- Madison, WI
National Provider Identifier
1760336358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MADISON GOLF PERFORMANCE, LLC
- Practice address
- 555 S Midvale Blvd Ste 113
Madison, WI 53711-1419 - Phone
- (608) 292-4466
- Fax
- (608) 544-8146
- NPI assigned
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Blodgett, DC
- Title
- Owner, President
- Phone
- (920) 427-2894
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
555 S Midvale Blvd Ste 113
Madison, WI 53711-1419
Mailing address
555 S Midvale Blvd Ste 113
Madison, WI 53711-1419
Phone (608) 292-4466
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Madison, WI
- NPI 1881062156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1760336358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 S MIDVALE BLVD STE 113",
"city": "MADISON",
"state": "WI",
"postal_code": "537111419",
"telephone_number": "608-292-4466",
"fax_number": "608-544-8146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 S MIDVALE BLVD STE 113",
"city": "MADISON",
"state": "WI",
"postal_code": "537111419",
"telephone_number": "608-292-4466",
"fax_number": "608-544-8146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MADISON GOLF PERFORMANCE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "BLODGETT",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER, PRESIDENT",
"authorized_official_telephone_number": "920-427-2894",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.