NPIMap

Organization Active NPI

Bone & Joint Clinic S.C.

  • Multi-Specialty Clinic/Center
  • Wausau, WI
National Provider Identifier
1902850696
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
BONE & JOINT CLINIC S.C.
Practice address
225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone
(715) 359-6442
Fax
(715) 393-0390
NPI assigned
May 19, 2006
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Adam HalversonNPI 1922340967
Title
President
Phone
(715) 359-6442

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 9

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Surgical Physician Assistant 363AS0400X NU
Orthopaedic Surgery Physician 207X00000X NU
Orthopaedic Hand Surgery Physician 207XS0106X NU
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X NU
Physical Medicine & Rehabilitation Physician 208100000X NU
Foot & Ankle Surgery Podiatrist 213ES0103X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950

Mailing address

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone (715) 359-6442

Other practice location 1

400 Westwood Dr Ste 100
Wausau, WI 54401-7801
Phone (715) 393-0372

Other practice location 2

1767 Park Ave Ste 100
Plover, WI 54467-4301
Phone (715) 344-1260

Other practice location 3

640 S 8th St
Medford, WI 54451-2017
Phone (715) 393-0479

Other practice location 4

1021 Western Ave Ste B
Mosinee, WI 54455-1511
Phone (715) 393-0479

Other practice location 5

2106 Schofield Ave Ste 5
Weston, WI 54476-2412
Phone (715) 393-0479

Other practice location 6

100 S Eagle Dr
Merrill, WI 54452-3716
Phone (715) 536-7181

Other practice location 7

724 S 8th St
Medford, WI 54451-2001
Phone (715) 748-2663

Other identifiers 3

IdentifierTypeStateIssuer
32698700MedicaidWI
CU0530OtherWIMEDICARE RAILROAD
0578690002OtherWIMEDICARE NSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040923000705 WI Part B Supplier - Clinic/Group Practice 3678541919 Receives reassigned benefits from 47 practitioners
Practice locations: Medford, WI; Weston, WI; Wausau, WI; Plover, WI; Mosinee, WI; Merrill, WI
O20191227001131 WI DME Supplier - Physician - General Practice 3678541919 Practice locations: Wausau, WI

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2142309Bone and Joint Clinic, SC225000 Hummingbird LN, Wausau, WI 54401Certificate of waiverJan 8, 2028

National Provider Directory

National Provider Directory

Locations

724 S 8th St
Ste 100
Medford, WI 54451

727 S 8TH St
Medford, WI 54451

712 E 2nd St
Merrill, WI 54452
Phone (715) 536-7181

1767 Park Ave
#100
Plover, WI 54467
Phone (715) 344-1260

2106 Schofield Ave
Ste 5
Weston, WI 54476
Phone (715) 393-0479

Practitioners & affiliated clinicians

Practitioners 65

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 65

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1902850696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012950",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225000 HUMMINGBIRD RD STE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544012950",
            "telephone_number": "715-359-6442",
            "fax_number": "715-393-0390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Westwood Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544017801",
            "country_code": "US",
            "telephone_number": "715-393-0372",
            "fax_number": "715-393-0390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1767 Park Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plover",
            "state": "WI",
            "postal_code": "544674301",
            "country_code": "US",
            "telephone_number": "715-344-1260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "WI",
            "postal_code": "544512017",
            "country_code": "US",
            "telephone_number": "715-393-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Western Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Mosinee",
            "state": "WI",
            "postal_code": "544551511",
            "country_code": "US",
            "telephone_number": "715-393-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2106 Schofield Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "WI",
            "postal_code": "544762412",
            "country_code": "US",
            "telephone_number": "715-393-0479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S Eagle Dr",
            "address_purpose": "LOCATION",
            "city": "Merrill",
            "state": "WI",
            "postal_code": "544523716",
            "country_code": "US",
            "telephone_number": "715-536-7181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "724 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "WI",
            "postal_code": "544512001",
            "country_code": "US",
            "telephone_number": "715-748-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BONE & JOINT CLINIC S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "HALVERSON",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-359-6442"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32698700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CU0530",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NSC",
            "identifier": "0578690002",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.