Bruce G Hartwell, D.D,S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001610-015 Issued in WI

Practice address

901 W Winnebago St
Suite LL-01
Milwaukee, WI 53205

Phone

(414) 477-0752

NPI assigned

Oct 30, 2007

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241913600000",
    "number": "1275712937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 W WINNEBAGO ST",
            "address_2": "SUITE LL-01",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205",
            "telephone_number": "414-477-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 W WINNEBAGO ST",
            "address_2": "SUITE LL-01",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205",
            "telephone_number": "414-477-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWELL",
        "first_name": "BRUCE",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D,S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-30",
        "last_updated": "2009-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001610-015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Hartman, D.D.S.
• Emma Rose Hartmann
• Jean Ann Hartnett, OTR
• Constanz W Hartney, PHD
• Anna Marie Harttert
• Natalee Renee Hartwig, MSN, CNM, APNP
• Courtney Melinyk Hartzog, LPN
• Gail Harvancik, GNP
• Harvey H. Bernstein MDSC
• Jackson Philip Harvey

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2009; 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.