Vincent Phillips Banker, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

17199 Issued in WI

Practice address

7310 Wellauer Dr
Wauwatosa, WI 53213-3668

Phone

(414) 475-1342

NPI assigned

Jul 26, 2010

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1154634681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7310 WELLAUER DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133668",
            "telephone_number": "414-475-1342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7310 WELLAUER DR",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532133668",
            "telephone_number": "414-475-1342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "VINCENT",
        "middle_name": "PHILLIPS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "WI",
            "license": "17199",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "17199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond R Ballecer, MD
• Nicole Ballinger, D.O.
• Stephanie Balsman, PHARMD
• Vikram Bamra
• Bindu S. Bamrah, M.D.
• Ingrid L Barber
• Callie Barfield, MA, LPC
• Gonzalo Barinaga, M.D.
• Subhadeep Barman, M.D.
• Karen L Barnes, PT

• Diagnostic Radiology Physician in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.