Tanner J. Bommersbach, MD
NPI 1770088676ActiveIndividual· Psychiatry & Neurology, Child & Adolescent Psychiatry· Madison, WI
Psychiatry & Neurology, Child & Adolescent Psychiatry (MD) in Madison, Wisconsin, trained at Mayo Medical School (class of 2018). Enrolled in Medicare as practitioner - psychiatry.
Overview
| NPI | 1770088676 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 24, 2018 |
| Last updated in NPPES | Dec 12, 2024 |
| Certified by provider | Dec 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Child & Adolescent Psychiatry Primary | 2084P0804X | 84021 | WI |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | 70965 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (WI) |
|---|
Education and affiliations
| Medical school | Mayo Medical School |
|---|---|
| Graduation year | 2018 |
| Medicare specialty | Psychiatry |
| Telehealth | Offers telehealth |
Medical group
- University of Wisconsin Medical Foundation IncMadison, WI · 2,553 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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