OrganizationActive
Vituity-Wisconsin LLC
NPI 1083490395 · Occupational Medicine Physician · Pleasant Prairie, WI
Provider details
- NPI number
- 1083490395
- Entity type
- Organization
- Primary specialty
- Occupational Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Birdsall, Vice President and Secretary(510) 350-2600
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
10256 Old Green Bay Rd Ste 140
Pleasant Prairie, WI 53158-2814
Phone: (262) 217-3455
Street-level locationGet directions
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Registry dates
- Enumerated
- 2023-09-01
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.