NPIMap

Thomas R. Brand, M.D.

Individual provider Active NPI Internal Medicine Physician · Bayview, WI

NPI 1023001047 · NPPES record last updated Nov 24, 2021

Key facts

NPI
1023001047
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
35542 (WI)
Practice address
3119 S Clement Ave
Bayview, WI 53207-2835
Phone
(414) 486-1900
Fax
(414) 486-4148
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 25

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Group practices
Aamg Reach PLLC (52 clinicians)
Aurora Advanced Healthcare, Inc. (1,107 clinicians)

Practice addresses (Care Compare)

10400 75TH St
Kenosha, WI 53142-7884
Phone (262) 948-7000

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

3119 S Clement Ave
Milwaukee, WI 53207-2835
Phone (414) 486-1900

Hospital & facility affiliations

  • Aurora at Home Home health agency · Milwaukee, WI · CCN 527001
  • Aurora St Lukes Medical Center Hospital · Milwaukee, WI · CCN 520138
  • West Allis Memorial Hospital Hospital · West Allis, WI · CCN 520139

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20081010000547 WI Practitioner - Internal Medicine 1951214634 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35542WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare Inc Current
since Sep 1, 2008		 Accepting new patients
Lakeshore Medical Clinic LTD Current
since Apr 28, 2020		 Accepting new patients
Aamg Reach PLLC Internal Medicine Current
since Sep 21, 2022		 Accepting new patients
Aurora Advanced Healthcare, Inc. Internal Medicine Current
since Sep 1, 2008		 Accepting new patients
Lakeshore Medical Clinic, LLC Current
since Apr 28, 2020		 Accepting new patients
Commonwealth Medical Group, LLC Internal Medicine Past Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

3119 S Clement Ave
#100
Milwaukee, WI 53207
Phone (414) 769-0040

3119 S Clement Ave
Milwaukee, WI 53207
Phone (414) 486-1900

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

Interoperability endpoints

  • Direct secure messaging: tbrand425@direct.myadvocateaurora.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35542 WI Yes

Addresses

Primary practice location

3119 S Clement Ave
Bayview, WI 53207-2835

Mailing address

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

Other identifiers

IdentifierTypeStateIssuer
32217000MedicaidWI
P00627716OtherWIRR MEDICARE

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address tbrand425@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Other providers in Bayview, WI

All providers in Bayview, WI · Internal Medicine Physician in Wisconsin

Sources for this page

Verify at the official NPI Registry.