Town of Brookfield

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF BROOKFIELD

Doing business as

Town of Brookfield Fire Department

Practice address

645 Janacek Rd
Brookfield, WI 53045-6052

Phone

(262) 796-3788

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David SulikNPI 1760602072

Title

Billing Manager

Phone

(262) 375-9610

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• TOWN OF BROOKFIELD FIRE DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Sulik, MANAGER

  • Land Ambulance
  • Footville, WI
  • NPI 1760602072
  Authorized official Same address or phone

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1063529790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72140",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530127340",
            "telephone_number": "262-375-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 JANACEK RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530456052",
            "telephone_number": "262-796-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF BROOKFIELD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "SULIK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "262-375-9610",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41349500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOWN OF BROOKFIELD FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kamaldeep S Toor, OD
• Claire M Topp, MS, ED S, NCSP, BCBA
• Catherine Elizabeth Torres, PTA
• Grace Kim Tosi, DDS
• Total Renal Care Inc (Fox Brook Dialysis)
• Town Square Medical S.C.
• Towne Centre Medical, S.C.
• Melanie Townsend, PT
• Erin J. Trampe, M.D.
• Kim Tran Wertz, DDS MS

• Land Ambulance in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Land Ambulance in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.