Organization Active NPI

City of New Berlin

Doing business as New Berlin Fire Department

  • Ambulance
  • New Berlin, WI
National Provider Identifier
1457335861
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CITY OF NEW BERLIN
Doing business as
New Berlin Fire Department
Practice address
16300 W National Ave
New Berlin, WI 53151-5510
Phone
(262) 785-6120
Fax
(262) 785-6130
NPI assigned
Nov 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Mr. Lloyd Meil Bertram, AUTHORIZED OFFICIAL
Title
Fire Chief
Phone
(262) 785-6120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

16300 W National Ave
New Berlin, WI 53151-5510

Mailing address

9401 W Brown Deer Rd Ste 101
Milwaukee, WI 53224-2009
Phone (414) 365-9900

Other identifiers 1

IdentifierTypeStateIssuer
41358200MedicaidWI

Other names 1

  • New Berlin Fire Department Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061013000553 WI Part B Supplier - Ambulance Service Supplier 0840296810 Practice locations: New Berlin, WI

National Provider Directory

National Provider Directory
Tax ID family
City of New Berlin2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9401 W Brown Deer Rd
Ste 101
Milwaukee, WI 53224

2600 S Calhoun Rd
New Berlin, WI 53151
Phone (262) 785-6120

16300 W National Ave
New Berlin, WI 53151
Phone (262) 785-6120

3805 S Casper Dr
New Berlin, WI 53151
Phone (262) 785-6120

5120 S Racine Ave
New Berlin, WI 53146
Phone (262) 785-6120

5161 S Sunny Slope Rd
New Berlin, WI 53151
Phone (262) 785-6120

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1457335861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 W BROWN DEER RD STE 101",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532242009",
            "telephone_number": "414-365-9900",
            "fax_number": "414-365-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16300 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531515510",
            "telephone_number": "262-785-6120",
            "fax_number": "262-785-6130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NEW BERLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-30",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "BERTRAM",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "MEIL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "262-785-6120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AUTHORIZED OFFICIAL"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41358200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Berlin Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Berlin, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.