Arlene Magon Braker, M.D.

Primary specialty

Neuromuscular Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081N0008X

License

29240-020 Issued in WI

Practice address

9252 N Green Bay Rd
Brown Deer, WI 53209-1104

Phone

(414) 527-5089

Fax

(414) 365-6349

NPI assigned

Oct 4, 2005

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medical Rehabilitation Associates, S.C.

  • Physical Medicine & Rehabilitation Physician
  • Mequon, WI
  • NPI 1922086289

  Neuromuscular Medicine

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1295722320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9252 N GREEN BAY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091104",
            "telephone_number": "414-527-5089",
            "fax_number": "414-365-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9252 N GREEN BAY RD",
            "city": "BROWN DEER",
            "state": "WI",
            "postal_code": "532091104",
            "telephone_number": "414-527-5089",
            "fax_number": "414-365-6349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAKER",
        "first_name": "ARLENE",
        "middle_name": "MAGON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081N0008X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
            "state": "WI",
            "license": "29240-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "045273840",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Bland
• Carly Bolli
• Nicholas Boortz
• Amanda Borchardt, LAT
• Bradley Family Dental Group, Inc.
• Christina Brigham
• Samantha Ann Broghammer, RD
• Barbara Ann Brown, APNP
• Carolyn Brown, LPN
• Laurie Ann Buesing, LPC-IT

• All providers in Brown Deer, WI
• Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.