Active NPI
Albert David Penney, M.D.
- Obstetrics & Gynecology Physician
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 45953
- 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
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 |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 45953 | WI | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastline Care Services, LLC | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Obhg California, P.C. | Obstetrics & Gynecology | Current | Accepting new patients |
| Aspirus Iron River Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Magella Medical Group, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| The Medical College of Wisconsin, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
Obstetrics & Gynecology
-
- In Home Supportive Care Agency
- Irvine, CA
- NPI 1083495949
-
- Critical Access Hospital
- Iron River, MI
- NPI 1497750830
-
- Rural Health Clinic/Center
- Laurium, MI
- NPI 1205998713
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.