BRONSON TIMOTHY BOMKAMP – Surgery Physician, NPI 1790281871

BRONSON TIMOTHY BOMKAMP is a healthcare provider. based in La crosse, Wisconsin. specializing in GENERAL SURGERY. They hold a License No. 71699-20 (WI). The NPI Number for BRONSON TIMOTHY BOMKAMP is 1790281871

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRONSON TIMOTHY BOMKAMP
NPI
1790281871
Phone
(608) 782-7300
Address
1836 South Ave
Enumeration Date
5 April 2018
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6089308000
Graduation Year
2018 (8 years ago)
PAC ID
0840547857
Group Practice PAC ID
3072415553
Professional Enrollment ID
I20230830001907
Address ID
WI535331956DO800XXWAYX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

848 GENERAL SURGERY in WI

Provider Addresses for BRONSON TIMOTHY BOMKAMP

  • 1836 South Ave

    LA Crosse, WI 546015429

    Phone: (608) 782-7300

    Type: Location

  • 1836, South Avenue, La Crosse, La Crosse County, Wisconsin, 54601, United States

    LA CROSSE, WI 546015429

    Phone: (608) 782-7300

    Type: Mailing

  • 800 COMPASSION WAY

    DODGEVILLE, WI 535331956

    Phone: (608) 930-8000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $4,286.

Total Amount is formed as General ($4,286) + Research ($0) + Ownership ($0) = $4,286.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($4,069).

Total Amount

$4,286

General + Research + Ownership

Payments

18

Total payment records

General Amount

$4,286

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830001907IGeneral SurgeryWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54601)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072415553View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Physician AssistantWI
Physician AssistantWI
-WI
Physical Therapist In Private PracticeWI
Diagnostic RadiologyTX
Orthopedic SurgeryWI
Physician AssistantWI
Physician AssistantMN

Reviews

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Frequently asked questions

What number should I use to identify BRONSON TIMOTHY BOMKAMP for billing?
Administrative and clinical systems typically use NPI 1790281871 for BRONSON TIMOTHY BOMKAMP.
Is BRONSON TIMOTHY BOMKAMP currently accepting referrals based on NPI status?
Registry metadata lists BRONSON TIMOTHY BOMKAMP as active.
What does the directory say BRONSON TIMOTHY BOMKAMP does?
Insurance directories may phrase it differently, but here BRONSON TIMOTHY BOMKAMP maps to Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to BRONSON TIMOTHY BOMKAMP?
BRONSON TIMOTHY BOMKAMP is associated with La Crosse, Wisconsin in the same public data insurers reference.
Who maintains BRONSON TIMOTHY BOMKAMP's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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