Individual provider Active NPI

Albert David Penney, M.D.

  • Obstetrics & Gynecology Physician
  • Brookfield, WI
National Provider Identifier
1083680847
Registry record updated Jun 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
45953 Issued in WI
Practice address
17280 W North Ave
Suite 200
Brookfield, WI 53045-4366
Phone
(262) 754-8000
Fax
(262) 754-8008
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 45953 WI Primary

Addresses

Primary practice location

17280 W North Ave
Suite 200
Brookfield, WI 53045-4366

Mailing address

17280 W North Ave
Suite 200
Brookfield, WI 53045-4366
Phone (262) 754-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040130000805 WI Practitioner - Obstetrics/Gynecology 2961305404 Reassigns benefits to 1 organization
I20230801003558 CA Practitioner - Obstetrics/Gynecology 2961305404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg California PCGroup PAC ID 8729276795, 94 clinicians

Practice addresses (Care Compare)

15107 Vanowen St
Van Nuys, CA 91405-4542
Phone (864) 908-3530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45953WIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastline Care Services, LLC Current Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Jun 17, 2023 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Current Accepting new patients
Magella Medical Group, Inc. Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Sep 15, 2015 Accepting new patients

Locations

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

2185 Citracado Pkwy
Bldg 1
Escondido, CA 92029

17100 Euclid St
Fountain Vly, CA 92708
Phone (714) 966-7200

9920 Talbert Ave
Fountain Vly, CA 92708
Phone (714) 236-4000

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

2865 Atlantic Ave
Ste 110
Long Beach, CA 90806
Phone (562) 933-0590

4281 Katella Ave
Ste 223
Los Alamitos, CA 90720
Phone (562) 429-7100

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

File 50978
Los Angeles, CA 90074

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600

29980 Network Pl
Chicago, IL 60673

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

840 N 87th St
Wauwatosa, WI 53226
Phone (414) 805-5540

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

Interoperability endpoints

  • Direct secure messaging: apenney803698@direct.memorialcare.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244592000000",
    "number": "1083680847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-754-8000",
            "fax_number": "262-754-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17280 W NORTH AVE",
            "address_2": "SUITE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454366",
            "telephone_number": "262-754-8000",
            "fax_number": "262-754-8008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "ALBERT",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2009-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "45953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.