Brent M Wogahn, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

36446 Issued in WI

Practice address

719 W Hamilton Ave
Suite C
Eau Claire, WI 54701-6968

Phone

(715) 832-1044

Fax

(715) 832-0520

NPI assigned

May 4, 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 5

Electronic endpoints 1

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

University of Iowa, RJ & L Carver College of Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Evergreen Surgical, S.C.Group PAC ID 8325106040, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oakleaf Surgical Hospital Hospital, Altoona, WI, CCN 520196

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bwogahn29620@oakleafmed.gardenplot.direct-ci.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.

• Evergreen Surgical, S.C.

  • Surgery Physician
  • Eau Claire, WI
  • NPI 1740238872
  Medicare reassignment Care Compare group NPD

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

• Oak Leaf Surgical Hospital LLC

  • Special Hospital
  • Altoona, WI
  • NPI 1669463832
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1922056787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE",
            "address_2": "SUITE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016968",
            "telephone_number": "715-832-1044",
            "fax_number": "715-832-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE",
            "address_2": "SUITE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016968",
            "telephone_number": "715-832-1044",
            "fax_number": "715-832-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGAHN",
        "first_name": "BRENT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "36446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT CARE/MEDICA",
            "identifier": "17-13730",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "020031295",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP60437",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32105900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECURITY HEALTH PLAN",
            "identifier": "38718",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwogahn93953@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "719 W Hamilton Ave",
            "address_2": "Suite C",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Wisconsin CVS Pharmacy LLC
• Wisconsin CVS Pharmacy, L.L.C.
• Rebecca Witt, CHNC, HHP, IHP, RDMS
• Nicole Wittmann
• Robert N Wittmann, OTR/L, CLT
• Kristin S. Wogahn, MD
• Emilia Weronika Wojciechowski, CNP
• Alyssa Wojtyna
• Haley Wold
• Sharon Wold, RN

• Surgery Physician in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Surgery Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.