Active NPI
Bryce Zdanovec, DPT
- Physical Therapist
- North Fond Du Lac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 16037
- Practice address
- 700 Park Ridge LN
North Fond Du Lac, WI 54937-1385 - Phone
- (920) 926-7800
- NPI assigned
- Jun 13, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 16037 | WI | Primary |
Addresses
Primary practice location
700 Park Ridge LN
North Fond Du Lac, WI 54937-1385
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (920) 926-7800
Other practice location 1
927 Rolling Meadows Dr
Little Chute, WI 54140-2646
Phone (920) 636-8387
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100221496 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | bzdanovec344093@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Park Ridge LN
North Fond Du Lac, WI 54937-1385
Phone (920) 926-7800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
700 Park Ridge Ln
North Fond du Lac, WI 54937
Phone (920) 907-7450
Interoperability endpoints
- bzdanovec344093@direct.myadvocateaurora.org
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1992435945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "920-926-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PARK RIDGE LN",
"city": "NORTH FOND DU LAC",
"state": "WI",
"postal_code": "549371385",
"telephone_number": "920-926-7800"
}
],
"practiceLocations": [
{
"address_1": "927 Rolling Meadows Dr",
"address_purpose": "LOCATION",
"city": "Little Chute",
"state": "WI",
"postal_code": "541402646",
"country_code": "US",
"telephone_number": "920-636-8387",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZDANOVEC",
"first_name": "BRYCE",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-13",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "16037",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100221496",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "700 Park Ridge Ln",
"city": "North Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549371385",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bzdanovec344093@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "700 Park Ridge Ln",
"city": "North Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549371385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in North Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.