Individual provider Active NPI

Brian Rezel Carr, DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Oak Creek, WI
National Provider Identifier
1093270217
Registry record updated May 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
600129215 Issued in WI
Practice address
7801 S Howell Ave Ste 202
Oak Creek, WI 53154-7117
Phone
(414) 764-2880
NPI assigned
Feb 1, 2019
Last updated
May 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 600129215 WI Primary

Addresses

Primary practice location

7801 S Howell Ave Ste 202
Oak Creek, WI 53154-7117

Mailing address

7801 S Howell Ave Ste 202
Oak Creek, WI 53154-7117
Phone (414) 764-2880

Other practice location 1

10535 N Port Washington Rd
Mequon, WI 53092-5583
Phone (262) 241-0900

Other practice location 2

800 N Mayfair Rd Ste 130
Wauwatosa, WI 53226-4241
Phone (262) 798-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250805002293 WI Practitioner - Dentist 2668980103 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
600129215WIMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgery Associates of Milwaukee SC Oral and Maxillofacial Surgery CurrentSince Jul 21, 2025 Accepting new patients
Oral Surgery Associates of Milwaukee SC Oral and Maxillofacial Surgery CurrentSince Jul 21, 2025 Accepting new patients
Oral Surgery Associates of Milwaukee Oral and Maxillofacial Surgery PastSince Apr 27, 2025 Accepting new patients

Locations

7801 S Howell Ave
Ste 202
Oak Creek, WI 53154
Phone (414) 764-2880

800 N Mayfair Rd
Ste 130
Wauwatosa, WI 53226
Phone (262) 798-0800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1093270217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 S HOWELL AVE STE 202",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531547117",
            "telephone_number": "414-764-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 S HOWELL AVE STE 202",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531547117",
            "telephone_number": "414-764-2880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10535 N Port Washington Rd",
            "address_purpose": "LOCATION",
            "city": "Mequon",
            "state": "WI",
            "postal_code": "530925583",
            "country_code": "US",
            "telephone_number": "262-241-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 N Mayfair Rd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Wauwatosa",
            "state": "WI",
            "postal_code": "532264241",
            "country_code": "US",
            "telephone_number": "262-798-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARR",
        "first_name": "BRIAN",
        "middle_name": "REZEL",
        "credential": "DMD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "WI",
            "license": "600129215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.