Yuliy Mukh Pershman, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

43729-020 Issued in WI

Practice address

9252 N Green Bay Rd
Brown Deer, WI 53209-1104

Phone

(414) 527-5089

Fax

(414) 365-6349

NPI assigned

Oct 3, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1083601355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 N GREEN BAY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091104",
            "telephone_number": "414-527-5089",
            "fax_number": "414-365-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 N GREEN BAY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091104",
            "telephone_number": "414-527-5089",
            "fax_number": "414-365-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSHMAN",
        "first_name": "YULIY",
        "middle_name": "MUKH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WI",
            "license": "43729-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "041968480",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "046173840",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kariann Kay Pajak Bergeron, MA
• Whitney Palumbo
• Elizabeth L Paly, PT DPT
• Ann Marie Parchment
• Ashlea Pardee
• Tina Pfannerstill, SAC-IT
• Tiffany Pitts
• Pleasant and Peaceful Home LLC
• Tina L Ploetz, LPC
• Michael D Plotkin, DO

• Physical Medicine & Rehabilitation Physician in Brown Deer, WI
• Providers in Brown Deer, WI by specialty
• Physical Medicine & Rehabilitation Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.