NPIMap

Organization Active NPI

Prairie Du Chien Memorial Hospital Assoc Inc

  • Family Medicine Physician
  • Fennimore, WI
National Provider Identifier
1760808968
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HSAT-7QXLRW Issued in WI
Legal business name
PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC
Practice address
1800 Bronson Blvd
Fennimore, WI 53809-9778
Phone
(608) 822-2940
Fax
(608) 822-2949
NPI assigned
Mar 12, 2014
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Christopher Brophy
Title
Ceo
Phone
(608) 357-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HSAT-7QXLRW WI Primary

Addresses

Primary practice location

1800 Bronson Blvd
Fennimore, WI 53809-9778

Mailing address

1800 Bronson Blvd
Fennimore, WI 53809-9778
Phone (608) 822-2940

Other identifiers 2

IdentifierTypeStateIssuer
1619024197MedicaidWI
1619024197MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 53

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.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1760808968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BRONSON BLVD",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538099778",
            "telephone_number": "608-822-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BRONSON BLVD",
            "city": "FENNIMORE",
            "state": "WI",
            "postal_code": "538099778",
            "telephone_number": "608-822-2940",
            "fax_number": "608-822-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE DU CHIEN MEMORIAL HOSPITAL ASSOC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-12",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "BROPHY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "608-357-2000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "HSAT-7QXLRW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619024197",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619024197",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fennimore, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.

Verify at the official NPI Registry.