Active NPI
Brian-Fred Mendelsohn Fitzsimmons, M.D.
- Neurology Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 49775
- Practice address
- 2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee, WI 53215-3633 - Phone
- (414) 385-1922
- Fax
- (414) 285-1899
- NPI assigned
- Sep 28, 2006
- Last updated
- Dec 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | ME164201 | FL | |
| Neurology Physician | 2084N0400X | 49775 | WI | Primary |
Addresses
Primary practice location
2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee, WI 53215-3633
Mailing address
2801 W Kinnickinnic River Pkwy Ste 680
Milwaukee, WI 53215-3633
Phone (414) 385-1922
Other practice location 1
9200 W Wisconsin Ave
Department of Neurology
Milwaukee, WI 53226-3522
Phone (414) 805-5246
Other practice location 2
11215 Metro Pkwy Ste 1
Fort Myers, FL 33966-1206
Phone (239) 208-2212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134210594 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, GA, SC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 385-8600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME164201 | FL | MD | Neurology Physician |
| 49775 | WI | MD | Neurology Physician |
Practice roles
Locations
11215 Metro Pkwy
Bldg 3
Fort Myers, FL 33966
Phone (470) 816-5071
11215 Metro Pkwy
Ste 1
Fort Myers, FL 33966
Phone (239) 208-2206
11215 Metro Pkwy
Ste 100
Fort Myers, FL 33966
Phone (239) 208-2206
9110 College Pointe Ct
Bldg 1
Fort Myers, FL 33919
801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371
250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711
15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060
80 Highland St
Laconia, NH 03246
Phone (603) 527-7100
238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7433
172 Kinsley St
Nashua, NH 03060
Phone (603) 595-3926
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W180N8085 Town Hall Rd
Fl 3
Menomonee Falls, WI 53051
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111
2801 W Kinnickinnic River Pkwy
Ste 680
Milwaukee, WI 53215
Phone (414) 385-1922
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 805-8700
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Interoperability endpoints
- bfitzsimmonsmd11189@direct.froedtert.com
Organizations & group practices 18
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Neurology Physician
- Fort Myers, FL
- NPI 1245926138
WI
-
dba Upson Regional Medical Center
- General Acute Care Hospital
- Thomaston, GA
- NPI 1659376630
Neurology
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Ascension Columbia St Mary's Hospital Milwaukee
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225071491
-
dba Ascension Columbia St Mary's Hospital Ozaukee
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1134210594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 680",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153633",
"telephone_number": "414-385-1922",
"fax_number": "414-285-1899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2801 W KINNICKINNIC RIVER PKWY STE 680",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532153633",
"telephone_number": "414-385-1922",
"fax_number": "414-285-1899"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_2": "DEPARTMENT OF NEUROLOGY",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-5246",
"fax_number": "414-259-0469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11215 Metro Pkwy Ste 1",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339661206",
"country_code": "US",
"telephone_number": "239-208-2212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "BRIAN-FRED",
"middle_name": "MENDELSOHN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME164201",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "49775",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134210594",
"state": "WI"
}
],
"endpoints": [],
"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 Dec 11, 2023; 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.