Active NPI
Bruce A Semon, MD
- Psychiatry Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 27318
- Practice address
- 3900 W Brown Deer Rd Ste 200
Milwaukee, WI 53209-1220 - Phone
- (414) 540-2170
- Fax
- (414) 540-2171
- NPI assigned
- Sep 7, 2006
- Last updated
- Jan 7, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 27318 | WI | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 27318 | WI |
Addresses
Primary practice location
3900 W Brown Deer Rd Ste 200
Milwaukee, WI 53209-1220
Mailing address
3900 W Brown Deer Rd Ste 200
Milwaukee, WI 53209-1220
Phone (414) 540-2170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31786300 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bsemon@nutritioninstitute.com | Direct | |
| Direct Messaging Address | bsemon@nutritioninstitute.com | Direct |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1035 W Glen Oaks LN
Suite 110
Mequon, WI 53092-3392
Phone (262) 240-0299
3900 W Brown Deer Rd
Suite 200
Brown Deer, WI 53209-1220
Phone 4145402170256
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27318 | WI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Counseling Services, Inc | Current | Accepting new patients | |
| Lakeview Care Partners, Inc. | Current | Accepting new patients | |
| Fokus Family Services LLC | Current | Accepting new patients | |
| Behavioral Solutions, Inc. | Current | Accepting new patients | |
| The Power of Change | Current | Accepting new patients | |
| Shorehaven Behavioral Health Inc | Psychiatry | Current | Accepting new patients |
| Apps Chiropractic and Wellness Center Inc | Past | Accepting new patients | |
| Associated Mental Health Services | Past | Accepting new patients |
Locations
16535 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 789-0909
5555 N Port Washington Rd
Ste 200
Glendale, WI 53217
Phone (414) 962-6100
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
N84W17049 Menomonee Ave
Menomonee Fls, WI 53051
Phone (262) 255-1180
1035 W Glen Oaks Ln
Ste 110
Mequon, WI 53092
Phone (262) 240-0299
10911 N Port Washington Rd
#13W
Mequon, WI 53092
Phone (262) 240-0223
11649 N Port Washington Rd
Ste 201
Mequon, WI 53092
Phone 2627891191148
11649 N Port Washington Rd
Ste 221
Mequon, WI 53092
Phone (262) 912-1922
10850 W Park Pl
Ste 100
Milwaukee, WI 53224
Phone (414) 361-4100
2115 E Woodstock Pl
Milwaukee, WI 53202
Phone (414) 271-1020
2727 W Mitchell St
Milwaukee, WI 53215
Phone (414) 383-3699
2730 W Ramsey Ave
Milwaukee, WI 53221
Phone (414) 282-2600
2821 N Vel R Phillips Ave
Ste 123
Milwaukee, WI 53212
Phone (414) 264-4217
2821 N Vel R Phillips Ave
Ste 131
Milwaukee, WI 53212
Phone (414) 374-8787
3900 W Brown Deer Rd
Ste 200
Milwaukee, WI 53209
321 Riverside Dr
Pewaukee, WI 53072
Phone (262) 291-2300
3821 S Chicago Ave
South Milwaukee, WI 53172
Phone (414) 762-6379
1701 Sharp Rd
Waterford, WI 53185
Phone (262) 534-7297
2314 N Grandview Blvd
Ste 309
Waukesha, WI 53188
Phone (262) 544-4540
5301 W Lincoln Ave
West Allis, WI 53219
Phone (414) 615-7200
Interoperability endpoints
- lifestancehealth.brucesemon@149809.advancedmd-direct.com
Organizations & group practices 9
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.
-
dba LifeStance Health
- Mental Health Counselor
- Brookfield, WI
- NPI 1033127246
-
- Child & Adolescent Psychiatry Physician
- Milwaukee, WI
- NPI 1598800740
-
- Nurse Practitioner
- Milwaukee, WI
- NPI 1174633119
-
dba Lakeview Mill Pond
- Mental Illness Community Based Residential Treatment Facility
- Waterford, WI
- NPI 1083924732
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1730477688
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1164673133
-
- Chiropractor
- Wauwatosa, WI
- NPI 1336276625
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1649338120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767744000000",
"number": "1114020773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532091220",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 W BROWN DEER RD STE 200",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532091220",
"telephone_number": "414-540-2170",
"fax_number": "414-540-2171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMON",
"first_name": "BRUCE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2026-01-07",
"certification_date": "2026-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "27318",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WI",
"license": "27318",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31786300",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsemon@nutritioninstitute.com",
"affiliation": "N",
"endpointDescription": "clinic email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3900 W Brown Deer Rd Ste 200",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532091220",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bsemon@nutritioninstitute.com",
"affiliation": "N",
"endpointDescription": "clinic email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3900 W Brown Deer Rd Ste 200",
"city": "Milwaukee",
"state": "WI",
"country_code": "US",
"postal_code": "532091220",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.