Individual provider Active NPI

Kevin Eugene Halbert, M.D.

  • Neonatal-Perinatal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1174639546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
37715 Issued in WI
Practice address
3070 N. 51St Street
Suite P309
Milwaukee, WI 53210-1661
Phone
(414) 447-2663
Fax
(414) 447-2884
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 37715 WI Primary

Addresses

Primary practice location

3070 N. 51St Street
Suite P309
Milwaukee, WI 53210-1661

Mailing address

3070 N. 51St Street
Suite P309
Milwaukee, WI 53210-1661
Phone (414) 447-2663

Other identifiers 1

IdentifierTypeStateIssuer
32230700MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
37715WIMDNeonatal-Perinatal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174639546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N. 51ST STREET",
            "address_2": "SUITE P309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101661",
            "telephone_number": "414-447-2663",
            "fax_number": "414-447-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N. 51ST STREET",
            "address_2": "SUITE P309",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101661",
            "telephone_number": "414-447-2663",
            "fax_number": "414-447-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALBERT",
        "first_name": "KEVIN",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "WI",
            "license": "37715",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32230700",
            "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 Jul 8, 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.