Active NPI
Juan T Biagtan MD
- Pediatrics Physician
- Brookfield, WI
National Provider Identifier
1245327485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- JUAN T BIAGTAN MD
- Practice address
- 19475 W North Ave
#308
Brookfield, WI 53045-4199 - Phone
- (262) 780-4358
- Fax
- (262) 780-4002
- NPI assigned
- Oct 9, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Juan T Biagtan, MD
- Title
- Owner/President
- Phone
- (262) 780-4358
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
19475 W North Ave
#308
Brookfield, WI 53045-4199
Mailing address
4555 W Schroeder Dr
#170
Milwaukee, WI 53223-1475
Phone (414) 365-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30404900 | Medicaid | WI |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Brookfield, WI
- NPI 1821008814
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282867200000",
"number": "1245327485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4555 W SCHROEDER DR",
"address_2": "#170",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532231475",
"telephone_number": "414-365-3210",
"fax_number": "414-365-3225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19475 W NORTH AVE",
"address_2": "#308",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454199",
"telephone_number": "262-780-4358",
"fax_number": "262-780-4002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUAN T BIAGTAN MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-09",
"last_updated": "2010-08-27",
"status": "A",
"authorized_official_last_name": "BIAGTAN",
"authorized_official_first_name": "JUAN",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "262-780-4358",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30404900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.