Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

West Bend Clinic, Inc.

Family Medicine Physician in West Bend, WI · enumerated 2006 · authorized official Gregory Blommel, Medical Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1235106311

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Registry record

Entity type Organization (Type 2)

Legal business name West Bend Clinic, Inc.

Practice address 1700 W Paradise Dr, West Bend, WI, 53095

Phone (262) 334-3451

Enumeration date Mar 7, 2006

Last updated in NPPES May 4, 2011

Taxonomy & classification

152W00000X Optometrist Eye and Vision Services Providers Secondary

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary

207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary

207W00000X Ophthalmology Physician Allopathic & Osteopathic Physicians Secondary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians Secondary

207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary

2084N0400X Neurology Physician Allopathic & Osteopathic Physicians Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians Secondary

2085U0001X Diagnostic Ultrasound Physician Allopathic & Osteopathic Physicians Secondary

208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary

208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary

363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Gregory Blommel

Title Medical Director

Phone (262) 306-6336

Other identifiers

Identifier	Type	State	Issuer
21251400	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2011-05-04. Verify at npiregistry.cms.hhs.gov.

Where is West Bend Clinic, Inc. located?

The practice location on file with NPPES is in West Bend, WI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2011-05-04.