Bruce Allen Begotka, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

4590-015 Issued in WI

Practice address

431 E Clairemont Ave
Suite C
Eau Claire, WI 54701-3685

Phone

(715) 830-5010

Fax

(715) 830-5020

NPI assigned

Dec 29, 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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922164359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E CLAIREMONT AVE",
            "address_2": "SUITE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013685",
            "telephone_number": "715-830-5010",
            "fax_number": "715-830-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E CLAIREMONT AVE",
            "address_2": "SUITE C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547013685",
            "telephone_number": "715-830-5010",
            "fax_number": "715-830-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEGOTKA",
        "first_name": "BRUCE",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WI",
            "license": "4590-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian K Becker, DC
• Jason Beckermann, MD
• Sara Bedford
• Kahlie Elizabeth Begin, M.D.
• Kari Begolke, SAC-IT
• Caitlyn Behling, PT, DPT, ATC
• Margaret Behnke, CADCIII
• Ryan Behnke
• Monte Keith Bell, M.D.
• Beller Medical Transportation LLC

• Endodontics in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Endodontics in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.