Active NPI
William N Brandt, MD
- Gastroenterology Physician
- Janesville, WI
National Provider Identifier
1093754368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 18342-020
- Practice address
- 3200 E Racine St
Janesville, WI 53546-2343 - Phone
- (608) 371-8000
- Fax
- (608) 371-8277
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 18342-020 | WI | Primary |
Addresses
Primary practice location
3200 E Racine St
Janesville, WI 53546-2343
Mailing address
3200 E Racine St
Janesville, WI 53546-2343
Phone (608) 371-8000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019 | Other | WI | DEAN HEALTH INSURANCE |
| 31188100 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18342-020 | WI | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399334400000",
"number": "1093754368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462343",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 E RACINE ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462343",
"telephone_number": "608-371-8000",
"fax_number": "608-371-8277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "WILLIAM",
"middle_name": "N",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2014-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "18342-020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "1019",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31188100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.