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West Bend Clinic, Inc.

Obstetrics & Gynecology 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

1558371104

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Registry record

Entity type Organization (Type 2)
Legal business name West Bend Clinic, Inc.
Other name <Unavail>
Practice address 3200 Pleasant Valley Rd, West Bend, WI, 53095
Enumeration date Aug 8, 2006
Last updated in NPPES May 23, 2012

Taxonomy & classification

207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RC0001X Clinical Cardiac Electrophysiology Physician Allopathic & Osteopathic Physicians Secondary
207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Primary
207VM0101X Maternal & Fetal Medicine Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

Authorized official

Name Gregory Blommel
Title Medical Director

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.

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Frequently asked questions

Where is West Bend Clinic, Inc. located?
The practice location on file with NPPES is in West Bend, WI.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-05-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-23.