Newberry Group, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1236 057 Issued in WI

Legal business name

NEWBERRY GROUP, INC.

Practice address

125 S Main St
Ste. B
West Bend, WI 53095-3361

Phone

(262) 338-1900

Fax

(262) 338-1837

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gene F Braaksma, PH,D

Title

President, Owner

Phone

(262) 338-1900

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1215056080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "address_2": "STE. B",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953361",
            "telephone_number": "262-338-1900",
            "fax_number": "262-338-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "address_2": "STE. B",
            "city": "WEST BEND",
            "state": "WI",
            "postal_code": "530953361",
            "telephone_number": "262-338-1900",
            "fax_number": "262-338-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERRY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "BRAAKSMA",
        "authorized_official_first_name": "GENE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "262-338-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH,D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WI",
            "license": "1236 057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• E. Prakash Nair, APNP
• Colleen Elizabeth Gosa Nalepinski, PHYSICIAN ASSISTANT
• Earl William Nepple, MD
• Kristine Kim Neuburg, D.D.S.
• McKenna Christine Neuman, MS, LPC-IT
• Gregory M Newth, PTA
• Andrea Newton
• Rita J Newton, PT
• Jackson Nguyen, MD
• Kristine Ann Nigro, R.D. C.D.

• Community/Behavioral Health Agency in West Bend, WI
• Providers in West Bend, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.