Active NPI
Breana Christine Cummens, MD
- Family Medicine Physician
- Greenfield, WI
National Provider Identifier
1376961086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 64724-20
- Practice address
- 4935 S. 76TH St.
Suite 101
Greenfield, WI 53220 - Phone
- (414) 777-3100
- Fax
- (525) 260-7345
- NPI assigned
- Mar 31, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 64724-20 | WI | Primary |
Addresses
Primary practice location
4935 S. 76TH St.
Suite 101
Greenfield, WI 53220
Mailing address
4935 S. 76TH St.
Suite 101
Greenfield, WI 53220
Phone (414) 777-3100
Other practice location 1
2801 W Kinnickinnic River Pkwy
Suite 205
Milwaukee, WI 53215-3669
Phone (414) 649-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4600 W Loomis Rd
Suite 130
Greenfield, WI 53220-4858
Phone (414) 389-4900
Hospital & facility affiliations
- Aurora at Home
- Ascension SE Wisconsin Hospital
- Ascension St Francis Hospital
- Ascension Columbia St Marys Hospital Milwaukee
- West Allis Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64724-20 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Family Medicine | Current | Accepting new patients |
| Ascension All Saints Hospital, Inc | Past | Accepting new patients |
Locations
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
4935 S 76th St
Ste 101
Greenfield, WI 53220
Phone (414) 777-3100
4600 W Loomis Rd
Ste 130
Greenfield, WI 53220
Phone (414) 389-4900
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Family Medicine
-
- Rehabilitation Hospital Unit
- Racine, WI
- NPI 1417966540
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- Home Health Agency
- West Allis, WI
- NPI 1134255037
-
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1376961086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4935 S. 76TH ST.",
"address_2": "SUITE 101",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53220",
"telephone_number": "414-777-3100",
"fax_number": "525-260-7345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4935 S. 76TH ST.",
"address_2": "SUITE 101",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "53220",
"telephone_number": "414-777-3100",
"fax_number": "525-260-7345"
}
],
"practiceLocations": [
{
"address_1": "2801 W Kinnickinnic River Pkwy",
"address_2": "Suite 205",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532153669",
"country_code": "US",
"telephone_number": "414-649-7909",
"fax_number": "414-649-3361",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMENS",
"first_name": "BREANA",
"middle_name": "CHRISTINE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-31",
"last_updated": "2021-11-26",
"certification_date": "2021-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "64724-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.