Active NPI
Genevieve Pressman, C.PED
- Pedorthist
- Brookfield, WI
National Provider Identifier
1124338462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- Practice address
- 200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216 - Phone
- (414) 535-8134
- Fax
- (888) 662-0859
- NPI assigned
- Oct 20, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pedorthist | 224L00000X | Primary |
Addresses
Primary practice location
200 S Executive Dr
Suite 101
Brookfield, WI 53005-4216
Mailing address
888 Worcester St
Suite 130
Wellesley, MA 02482-3744
Phone (617) 964-6681
Other names 1
- Genevieve Bonpenser
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287532800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1124338462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "888 WORCESTER ST",
"address_2": "SUITE 130",
"city": "WELLESLEY",
"state": "MA",
"postal_code": "024823744",
"telephone_number": "617-964-6681",
"fax_number": "339-686-2561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S EXECUTIVE DR",
"address_2": "SUITE 101",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054216",
"telephone_number": "414-535-8134",
"fax_number": "888-662-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESSMAN",
"first_name": "GENEVIEVE",
"credential": "C.PED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-20",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GENEVIEVE",
"last_name": "BONPENSER",
"credential": "C.PED",
"code": "1",
"type": "Former Name"
}
]
}
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 Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.