Individual provider Active NPI

William Logan Bender, M.D.

  • Family Medicine Physician
  • Viroqua, WI
National Provider Identifier
1922091628
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3099 Issued in ND
Practice address
S6296 Peterson Hill Road
Viroqua, WI 54665
Phone
(608) 675-3652
NPI assigned
Aug 26, 2005
Last updated
Nov 9, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19570 IA
Emergency Medicine Physician 207P00000X 17175 WI
Family Medicine Physician 207Q00000X 3099 ND Primary

Addresses

Primary practice location

S6296 Peterson Hill Road
Viroqua, WI 54665

Mailing address

S6296 Peterson Hill Road
Viroqua, WI 54665
Phone (608) 675-3652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, ND2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040211000463 WI Practitioner - Emergency MedicinePractitioner - General Practice 3577457514 Reassigns benefits to 3 organizations
I20201113001271 ND Practitioner - Family Practice 3577457514 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacobson Memorial Hospital Care CenterGroup PAC ID 2466363981, shared by 5 NPIs, 16 clinicians
Southwesthealthcare ServicesGroup PAC ID 3173512704, shared by 5 NPIs, 13 clinicians

Practice addresses (Care Compare)

602 E Ash Ave
Glen Ullin, ND 58631-7138
Phone (701) 348-9175

802 2ND St NW
Bowman, ND 58623-4483

901 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6120

909 2ND St
Langdon, ND 58249-2407
Phone (701) 256-6100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19570IAMDEmergency Medicine Physician
17175WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacobson Memorial Hospital Care Center CurrentSince May 17, 2025 Accepting new patients
Southwest Health Care Services CurrentSince Sep 15, 2020 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2016 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince May 30, 2023 Accepting new patients
Jacobson Memorial Hospital Care Center CurrentSince May 30, 2023 Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Mar 1, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 7, 2016 Accepting new patients
Southwest Healthcare Services Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jul 15, 2016 Accepting new patients
Moundview Memorial Hospital & Clinics, Inc Family Medicine Current Accepting new patients
Mountrail County Medical Center, Inc. Current Accepting new patients
Cavalier County Memorial Hospital Association CurrentSince Mar 1, 2022 Accepting new patients
Mountrail County Medical Center, Inc. CurrentSince Oct 28, 2021 Accepting new patients
Jacobson Memorial Hospital Care Center Current Accepting new patients
Moundview Memorial Hospital & Clinics, Inc. CurrentSince Jul 15, 2016 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Heritage Emergency Physicians Emergency Medicine Past Accepting new patients
Mayo Clinic Health System-Southwest Wisconsin Region, Inc. Past Accepting new patients
Prairie Trails Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

802 2nd St NW
Bowman, ND 58623
Phone (701) 523-3214

802 2nd St NW
Ste 1
Bowman, ND 58623
Phone (701) 523-5555

901 2nd St
Langdon, ND 58249
Phone (701) 256-6120

909 2nd St
Langdon, ND 58249
Phone (701) 256-6100

215 3rd Ave W
Richardton, ND 58652
Phone (701) 974-3372

301 5th St
Walhalla, ND 58282
Phone (701) 549-2711

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

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

Organizations & group practices 19

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

View all 19

Hospital & facility affiliations 2

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": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1922091628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S6296 PETERSON HILL ROAD",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "54665",
            "telephone_number": "608-675-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S6296 PETERSON HILL ROAD",
            "city": "VIROQUA",
            "state": "WI",
            "postal_code": "54665",
            "telephone_number": "608-675-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDER",
        "first_name": "WILLIAM",
        "middle_name": "LOGAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "19570",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "17175",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "3099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Viroqua, WI

Sources for this page

Verify at the official NPI Registry.