Active NPI
City of New Berlin
Doing business as New Berlin Fire Department
- Ambulance
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41358200 | Medicaid | WI |
Other names 1
- New Berlin Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Berlin
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Basic Emergency Medical Technician
- New Berlin, WI
- NPI 1669475331
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.