Beaver Dam Community Hospitals, Inc
NPI 1023310034 · Sports Medicine (Family Medicine) Physician · Beaver Dam, WI
Beaver Dam Community Hospitals, Inc is a Sports Medicine (Family Medicine) Physician organization in Beaver Dam, WI (NPI 1023310034).
Provider details
- NPI number
- 1023310034
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Marshfield Clinic Health System Inc
- Organization subpart
- Yes
- Authorized official
- Gordon Edwards, Cfo/Coo/Ao(715) 387-5823
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- (inactive) Mmc - Beaver Dam - Movement & Ortho, Rehab, Pt/Ot/St
Registry dates
- Enumerated
- 2010-11-23
- Last updated
- 2022-03-02
- Certified
- 2022-03-02
Frequently asked questions
- What is Beaver Dam Community Hospitals, Inc's NPI number?
- Beaver Dam Community Hospitals, Inc's National Provider Identifier (NPI) is 1023310034, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Dam Community Hospitals, Inc?
- Beaver Dam Community Hospitals, Inc is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Beaver Dam Community Hospitals, Inc located?
- Beaver Dam Community Hospitals, Inc's practice location on file with NPPES is 705 S University Ave Ste 150, Beaver Dam, WI 53916.
- What is Beaver Dam Community Hospitals, Inc's phone number?
- The practice phone number listed in the NPPES registry for Beaver Dam Community Hospitals, Inc is (920) 219-4009.
- Who is the authorized official for Beaver Dam Community Hospitals, Inc?
- The authorized official listed on Beaver Dam Community Hospitals, Inc's NPPES record is Gordon Edwards, Cfo/Coo/Ao. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Dam Community Hospitals, Inc's NPI active?
- Yes — Beaver Dam Community Hospitals, Inc's NPI (1023310034) is active in the NPPES registry as of the last update on 2022-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.