Individual provider Active NPI

John David Wean, MD

  • Psychiatry Physician
  • Brookfield, WI
National Provider Identifier
1417022203
Registry record updated Aug 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
26345 Issued in WI
Practice address
12760 W North Ave
Building a
Brookfield, WI 53005-4628
Phone
(262) 439-5500
Fax
(866) 439-5221
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 26345 WI Primary

Addresses

Primary practice location

12760 W North Ave
Building a
Brookfield, WI 53005-4628

Mailing address

12760 W North Ave
Building a
Brookfield, WI 53005-4628
Phone (262) 439-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26345WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milwaukee Psychiatric Physicians Chartered Psychiatry PastSince Aug 1, 2019 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786838400000",
    "number": "1417022203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE",
            "address_2": "BUILDING A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 W NORTH AVE",
            "address_2": "BUILDING A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-439-5500",
            "fax_number": "866-439-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEAN",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2026-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "26345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.