NPIMap

Organization Active NPI

Midwest Comprehensive Pain Care SC

  • Interventional Pain Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1356397954
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
MIDWEST COMPREHENSIVE PAIN CARE SC
Practice address
2500 N Mayfair Rd
#300
Milwaukee, WI 53226
Phone
(414) 771-7400
Fax
(414) 771-4992
NPI assigned
May 25, 2006
Last updated
Aug 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Dr. Nancy C Bratanow, M.D.NPI 1346230612
Title
Medical Director
Phone
(414) 771-7400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
#300
Milwaukee, WI 53226

Mailing address

2500 N Mayfair Rd Ste 480
Milwaukee, WI 53226-1443
Phone (414) 771-7400

National Provider Directory

National Provider Directory

Locations

2500 N Mayfair Rd
Ste 480
Wauwatosa, WI 53226
Phone (414) 475-6043

1110 Oak St
Ste 1100
West Bend, WI 53095
Phone (262) 335-9523

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1356397954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD STE 480",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261443",
            "telephone_number": "414-771-7400",
            "fax_number": "414-771-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "#300",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-771-7400",
            "fax_number": "414-771-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COMPREHENSIVE PAIN CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "BRATANOW",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "414-771-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.