Active NPI
Brian B McGinley, O.D.
- Optometrist
- Milwaukee, WI
National Provider Identifier
1063565299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2854
- Practice address
- 2634 N. Downer Avenue
Milwaukee, WI 53211-4244 - Phone
- (414) 964-3125
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2854 | WI | Primary |
Addresses
Primary practice location
2634 N. Downer Avenue
Milwaukee, WI 53211-4244
Mailing address
2029 E. Kenwood BL.
Milwaukee, WI 53211-3310
Phone (414) 287-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2854 | WI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1249257600000",
"number": "1063565299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2029 E. KENWOOD BL.",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532113310",
"telephone_number": "414-287-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2634 N. DOWNER AVENUE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114244",
"telephone_number": "414-964-3125"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCGINLEY",
"first_name": "BRIAN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2009-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WI",
"license": "2854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.