Individual provider Active NPI

Brent Allen Fuerbringer

  • Podiatrist
  • Tomah, WI
National Provider Identifier
1831586239
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1103 Issued in WI
Practice address
1330 N Superior Ave
Tomah, WI 54660
Phone
(608) 372-4111
NPI assigned
Apr 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Podiatrist 213E00000X 1103 WI Primary

Addresses

Primary practice location

1330 N Superior Ave
Tomah, WI 54660

Mailing address

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

Other practice location 1

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170918003661 WI Practitioner - Podiatry 3173816543 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Clinic LLPGroup PAC ID 3971654021, 5 clinicians

Practice addresses (Care Compare)

2919 Stout Rd
Menomonie, WI 54751-2313
Phone (715) 235-4274

Hospital & facility affiliations

  • Cumberland Memorial Hospital Hospital, Cumberland, WI, CCN 521353
  • Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311
  • Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196
  • Indianhead Medical Ctr Hospital, Shell Lake, WI, CCN 521342

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue24
Removal of skin lesions1-10
Removal of nail tissue522
Removal or shaving of skin growth245

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1103WIMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Aug 25, 2017 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Aug 13, 2018 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Aug 17, 2018 Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Aug 25, 2017 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Sep 11, 2018 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Current Accepting new patients
Gundersen Clinic LTD CurrentSince Aug 13, 2018 Accepting new patients
Foot and Ankle Clinic LLP Podiatrist CurrentSince Apr 1, 2022 Accepting new patients
St. Joseph'S Health Services, Inc. CurrentSince Aug 17, 2018 Accepting new patients

Locations

1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222

1110 7th Ave
Cumberland, WI 54829
Phone (715) 822-2741

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

2919 Stout Rd
Menomonie, WI 54751
Phone (715) 235-4274

1600 Main St
Onalaska, WI 54650
Phone (608) 783-4681

1024 N Main St
Rice Lake, WI 54868
Phone (715) 234-7776

2900 S Wisconsin Ave
Rice Lake, WI 54868
Phone (608) 341-9636

105 4th Ave
Shell Lake, WI 54871
Phone (715) 468-2711

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

1330 N Superior Ave
Tomah, WI 54660
Phone (608) 372-4111

Interoperability endpoints

  • Direct secure messaging: bfuerbringer134871@direct.gundersenhealth.org
  • Direct secure messaging: bfuerbringer29635@oakleafmed.gardenplot.direct-ci.com
  • Direct secure messaging: brent.fuerbringer@cumberland-directmessage.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/gOP4994uTxKCP3l4vJ7Jqo6k1NZgHGsz/

Organizations & group practices 11

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1831586239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 N SUPERIOR AVE",
            "city": "TOMAH",
            "state": "WI",
            "postal_code": "54660",
            "telephone_number": "608-372-4111"
        }
    ],
    "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": "FUERBRINGER",
        "first_name": "BRENT",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WI",
            "license": "1103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomah, WI

Sources for this page

Verify at the official NPI Registry.