Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tanner J Bommersbach, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1770088676

Tanner J Bommersbach, MD is a Psychiatry in Madison, Wisconsin. Graduated from Mayo Medical School in 2018, 8 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
8
Trained at
Mayo Medical School
Licensed in
MN, WI
In the registry since
2018
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6001 Research Park Blvd
Madison, WI 53719-1176
Phone: (608) 232-3171
Fax: (608) 262-9246
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 84021 (WI)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 70965 (MN)

Record details

NPI number1770088676
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2018
Last updated in NPPESDecember 12, 2024
Certification dateDecember 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPSYCHIATRY
Medical schoolMAYO MEDICAL SCHOOL
Graduated 2018 (8 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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