Active NPI
Brookfield Cardiovascular Associates, SC
- Interventional Cardiology Physician
- Brookfield, WI
National Provider Identifier
1366228595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 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 DirectoryLocations
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.