Brenna A Gibbons, MD
Individual provider Active NPI Family Medicine Physician · Beleville, WI
NPI 1083176861 · NPPES record last updated Nov 10, 2022
Key facts
- NPI
- 1083176861
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 74034-20 (WI)
- Practice address
- 1121 Bell West Blvd
Beleville, WI 53508 - Phone
- (608) 424-3384
- NPI assigned
- Apr 2, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
1121 Bellwest Blvd
Belleville, WI 53508-9433
Phone (608) 424-3384
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
- The Monroe Clinic
- Unitypoint Health - Meriter
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220707002221 | WI | Practitioner - Family Practice |
3274867445 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Single Specialty | Current |
Accepting new patients |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
1121 Bellwest Blvd
Belleville, WI 53508
Phone (608) 424-3384
1100 Delaplaine Ct
Madison, WI 53715
Phone (608) 241-9020
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 7766-851 | WI | |
| Hospitalist Physician | 208M00000X | 74034-20 | WI | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 74034-20 | WI | Yes |
Addresses
Primary practice location
1121 Bell West Blvd
Beleville, WI 53508
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other providers in Beleville, WI
All providers in Beleville, WI · Family Medicine Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.