Organization Active NPI

Brookfield Cardiovascular Associates, SC

  • Interventional Cardiology Physician
  • Brookfield, WI
National Provider Identifier
1366228595
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
Legal business name
BROOKFIELD CARDIOVASCULAR ASSOCIATES, SC
Practice address
18200 W Capitol Dr Ste 200
Brookfield, WI 53045-1446
Phone
(414) 698-6510
Fax
(262) 444-5457
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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

Authorized official

Name
Ramagopal Tumuluri, MD
Title
President
Phone
(414) 698-6510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0011X Primary

Addresses

Primary practice location

18200 W Capitol Dr Ste 200
Brookfield, WI 53045-1446

Mailing address

18200 W Capitol Dr Ste 200
Brookfield, WI 53045-1446
Phone (414) 698-6510

National Provider Directory

National Provider Directory

Locations

18200 W Capitol Dr
Ste 200
Brookfield, WI 53045
Phone (262) 444-2158

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693872000000",
    "number": "1366228595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18200 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451446",
            "telephone_number": "414-698-6510",
            "fax_number": "262-444-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18200 W CAPITOL DR STE 200",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530451446",
            "telephone_number": "414-698-6510",
            "fax_number": "262-444-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKFIELD CARDIOVASCULAR ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A",
        "authorized_official_last_name": "TUMULURI",
        "authorized_official_first_name": "RAMAGOPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-698-6510",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 5, 2023; 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.