Stuart E Blacher, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

24655 Issued in WI

Practice address

19333 W North Ave
Brookfield, WI 53045-4132

Phone

(414) 447-2221

Fax

(262) 641-6880

NPI assigned

May 19, 2006

Last updated

Sep 11, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Great Lakes Radiation Oncology,

  • Medical Oncology Physician
  • Brookfield, WI
  • NPI 1861444291
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1154375988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19333 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454132",
            "telephone_number": "414-447-2221",
            "fax_number": "262-641-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19333 W NORTH AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454132",
            "telephone_number": "414-447-2221",
            "fax_number": "262-641-6880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHER",
        "first_name": "STUART",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "24655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31387400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bishop Bishop
• Keira Laurine Bittner
• Amy L Biwer, LPC
• BKD Brookdale Place of Brookfield, LLC (Brookdale Brookfield AL)
• BKD Clare Bridge Place Brookfield, LLC (Brookdale Brookfield MC)
• Aubrey Blahnik, MS, CCC-SLP
• Ryan R. Blair
• Christopher Allen Blake, DDS
• Sara Blandino, LMT
• Russell Blankenburg, MD

• Radiation Oncology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Radiation Oncology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; 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.