Individual provider Active NPI

Bruce A Semon, MD

  • Psychiatry Physician
  • Milwaukee, WI
National Provider Identifier
1114020773
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27318 Issued in WI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
31786300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040219000202 WI Practitioner - Psychiatry 3971498866 Reassigns benefits to 5 organizations
Practice locations: Milwaukee, WI; Port Washington, WI

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
Cornerstone Counseling Services IncGroup PAC ID 1456256023, 338 clinicians
Shorehaven Behavioral Health IncGroup PAC ID 0143324954, 12 clinicians

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

LicenseStateTypeSpecialty
27318WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling Services, Inc CurrentSince Mar 1, 2023 Accepting new patients
Lakeview Care Partners, Inc. CurrentSince Jan 1, 2015 Accepting new patients
Fokus Family Services LLC CurrentSince Feb 2, 2019 Accepting new patients
Behavioral Solutions, Inc. CurrentSince May 1, 2016 Accepting new patients
The Power of Change CurrentSince Mar 3, 2019 Accepting new patients
Shorehaven Behavioral Health Inc Psychiatry CurrentSince May 25, 2006 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.