Alan R Carlson, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

28217 Issued in WI

Practice address

1475 Webb St
Cumberland, WI 54829

Phone

(715) 822-2231

Fax

(715) 822-2023

NPI assigned

Jun 29, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

94.85 of 100Reported as group

Quality

89.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: alan.carlson@cumberland-directmessage.com

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

• Cumberland Clinic SC

  • Family Medicine Physician
  • Cumberland, WI
  • NPI 1629091566

  Family Medicine

  NPD

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293667200000",
    "number": "1770511537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 WEBB ST",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2231",
            "fax_number": "715-822-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 WEBB ST",
            "city": "CUMBERLAND",
            "state": "WI",
            "postal_code": "54829",
            "telephone_number": "715-822-2231",
            "fax_number": "715-822-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "ALAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2010-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30816600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Hills Chiropractic LLC
• Alyssa Brauer, CCC-SLP
• Amy Brenna, PT
• Stephanie Amanda Brooks, MA
• Lauryn Elizabeth Brunclik, D.C.
• Deborah Lee Clark, MS, LPC, CCTP
• John Edgar Cochran, CCC-SLP
• Cumberland Care and Rehab Inc
• Cumberland Clinic SC
• Cumberland Family Dental, S.C.

• All providers in Cumberland, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.