Active NPI
Numale Medical Center LLC
- Adult Medicine Physician
- Wauwatosa, WI
National Provider Identifier
1275978983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 49753-20
- Legal business name
- NUMALE MEDICAL CENTER LLC
- Practice address
- 2600 N Mayfair Rd
Suite 505
Wauwatosa, WI 53226-1309 - Phone
- (414) 727-8380
- Fax
- (414) 727-8555
- NPI assigned
- May 8, 2013
- Last updated
- May 8, 2013
- 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
- Brad Palubicki
- Title
- President
- Phone
- (414) 292-0450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 49753-20 | WI | Primary |
Addresses
Primary practice location
2600 N Mayfair Rd
Suite 505
Wauwatosa, WI 53226-1309
Mailing address
2600 N Mayfair Rd
Suite 505
Wauwatosa, WI 53226-1309
Phone (414) 727-8380
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Waukesha, WI
- NPI 1114189701
-
- Emergency Medicine Physician
- Beverly Hills, CA
- NPI 1841229010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1367971200000",
"number": "1275978983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "SUITE 505",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-727-8380",
"fax_number": "414-727-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 N MAYFAIR RD",
"address_2": "SUITE 505",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532261309",
"telephone_number": "414-727-8380",
"fax_number": "414-727-8555"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUMALE MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-08",
"last_updated": "2013-05-08",
"status": "A",
"authorized_official_last_name": "PALUBICKI",
"authorized_official_first_name": "BRAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "414-292-0450"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WI",
"license": "49753-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.