Brayton James Regner, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

19241-40 Issued in WI

Practice address

1901 Prairie Ave
Beloit, WI 53511-3133

Phone

(608) 365-2001

NPI assigned

Jul 12, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Beloit, WI
  • NPI 1720093719
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634947200000",
    "number": "1144706193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113133",
            "telephone_number": "608-365-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 PRAIRIE AVE",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535113133",
            "telephone_number": "608-365-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGNER",
        "first_name": "BRAYTON",
        "middle_name": "JAMES",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2021-10-23",
        "certification_date": "2021-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2017030954",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.300560",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "19241-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tonya G Ramsey, MS, LPC, CSAC
• Samuel John Randall, M.D.
• Jeffrey Rauber, PHARMD
• Emily Kathleen Ray, MSN RN
• Thad Regenold, RN, CDE
• Alan J Rehbein, OD
• Cynthia J Rehbein, OD
• John Thomas Reilly, MSW LCSW SACIT
• Julie Ann Reinhart, APSW
• Lisa Garcia Reinicke, DPM

• Pharmacist in Beloit, WI
• Providers in Beloit, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.