Diana Pang Dao Vang-Brostoff

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

4929 W Fond Du Lac Ave
Milwaukee, WI 53216-2324

Phone

(414) 871-6122

Fax

(414) 871-2552

NPI assigned

Apr 22, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Abg Wellness Group Inc

  • Community/Behavioral Health Agency
  • Milwaukee, WI
  • NPI 1184087389
  NPD
• Bell Therapy Family Care Cmu

  • Case Management Agency
  • Milwaukee, WI
  • NPI 1205032737
  NPD (past)
• Broadstep-Wisconsin, Inc.

  • Case Management Agency
  • West Allis, WI
  • NPI 1972708832
  NPD (past)

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1154718674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162324",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 W FOND DU LAC AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162324",
            "telephone_number": "414-871-6122",
            "fax_number": "414-871-2552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANG-BROSTOFF",
        "first_name": "DIANA",
        "middle_name": "PANG DAO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary F Vanderven, OTR/L
• Jaclyn Vanderwal, MD
• Trenton Vandewater, MD
• Deborah Bletzinger Vandommelen, MD
• Calloway Steven Vanepern, PHARMD
• Cher Vang, PSYCHOTHERAPIST
• Choua Yang Vang
• Duachy Vang, APNP
• Elizabeth Vang
• Frode Alperin Vang, M.D.

• Case Manager/Care Coordinator in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Case Manager/Care Coordinator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.