NPIMap

Individual provider Active NPI

Bronson Timothy Bomkamp

  • Surgery Physician
  • Dodgeville, WI
National Provider Identifier
1790281871
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
71699-20 Issued in WI
Practice address
800 Compassion Way
Dodgeville, WI 53533-1956
Phone
(608) 930-8000
NPI assigned
Apr 5, 2018
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

Hospital & facility affiliations 6

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

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upland Hills Health Inc 97 clinicians

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Hospital & facility affiliations

  • Upland Hills Health Hospital, Dodgeville, WI, CCN 521352

Merit-based Incentive Payment System (MIPS)

Final score
91.64 of 100Reported as group
Quality
97.3
Promoting interoperability
100
Improvement activities
40
Cost
74.83

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20230830001907 WI Practitioner - General Surgery 0840547857 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upland Hills Health Inc Surgery Current Accepting new patients
Upland Hills Health, Inc CurrentSince Aug 1, 2023 Accepting new patients
Upland Hills Health, Inc. CurrentSince Dec 1, 2025 Accepting new patients
Upland Hills Health, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Upland Hills Health, Inc. Past Accepting new patients

Locations

1204 Joseph St
Dodgeville, WI 53533
Phone (608) 574-5044

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

Interoperability endpoints

  • Direct secure messaging: bbomkamp452720@direct-ehr-ssmhc.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 71699-20 WI Primary

Addresses

NPPES NPI Registry

Primary practice location

800 Compassion Way
Dodgeville, WI 53533-1956

Mailing address

800 Compassion Way
Dodgeville, WI 53533-1956
Phone (608) 930-8000

Other practice location 1

1836 South Ave
LA Crosse, WI 54601-5429
Phone (608) 782-7300

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2023.

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1790281871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 COMPASSION WAY",
            "city": "DODGEVILLE",
            "state": "WI",
            "postal_code": "535331956",
            "telephone_number": "608-930-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1836 South Ave",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546015429",
            "country_code": "US",
            "telephone_number": "608-782-7300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOMKAMP",
        "first_name": "BRONSON",
        "middle_name": "TIMOTHY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-05",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "71699-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dodgeville, WI

Sources for this page

Verify at the official NPI Registry.