Support Broker Services, LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

SUPPORT BROKER SERVICES, LLC

Practice address

5409 Mathews Rd
Middleton, WI 53562-2434

Phone

(608) 692-0326

NPI assigned

May 24, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matthew Kenneth Novinska

Title

Support Broker

Phone

(608) 692-0326

Specialties & licenses 1

Addresses

Other names 1

• Support Broker Services, LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716508800000",
    "number": "1003655440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 MATHEWS RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622434",
            "telephone_number": "608-692-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5409 MATHEWS RD",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622434",
            "telephone_number": "608-692-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORT BROKER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A",
        "authorized_official_last_name": "NOVINSKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "SUPPORT BROKER",
        "authorized_official_telephone_number": "608-692-0326"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Support Broker Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle M Suchomel, PT
• Jo A Suehring
• Michael Jay Suer, M.D.
• Brian J Sullivan, MS LPC
• Carl R Sunby, MD
• Linda Marie Suy, RN
• Sean Tyler Sweeney, O.D.
• Michael Neill Sweetnam, PH.D.
• Robert Allen Syring, LCSW
• Jonathan Michael Szewczyk, DDS

• Supports Brokerage Agency in Middleton, WI
• Providers in Middleton, WI by specialty
• Supports Brokerage Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.