Active NPI
Bradley Joseph Novak, PA-C; R.T.(R)(CT)
- Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 8619
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6000
- Fax
- (414) 805-6280
- NPI assigned
- Feb 1, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 8619 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-6000
Other practice location 1
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
Other practice location 2
16650 W Bluemound Rd Ste 200
Brookfield, WI 53005-5959
Phone (262) 827-9200
Other practice location 3
3333 Green Bay Rd
North Chicago, IL 60064-3037
Phone (847) 578-3000
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16650 W Bluemound Rd
Suite 200
Brookfield, WI 53005-5959
Phone (262) 827-9200
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
W180N8085 Town Hall Rd
FL 3
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
Hospital & facility affiliations
- Community Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
16650 W Bluemound Rd
Ste 200
Brookfield, WI 53005
Phone (262) 827-9200
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000
11430 N Port Washington Rd
Mequon, WI 53092
Phone (262) 518-1900
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
3200 Pleasant Valley Rd
West Bend, WI 53095
Phone (262) 334-5533
Interoperability endpoints
- bnovakrtr138814@direct.froedtert.com
Organizations & group practices 3
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
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1508670563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6000",
"fax_number": "414-805-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6000",
"fax_number": "414-805-6280"
}
],
"practiceLocations": [
{
"address_1": "W180N8085 Town Hall Rd",
"address_purpose": "LOCATION",
"city": "Menomonee Falls",
"state": "WI",
"postal_code": "530513518",
"country_code": "US",
"telephone_number": "262-251-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16650 W Bluemound Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055959",
"country_code": "US",
"telephone_number": "262-827-9200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3333 Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600643037",
"country_code": "US",
"telephone_number": "847-578-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOVAK",
"first_name": "BRADLEY",
"middle_name": "JOSEPH",
"credential": "PA-C; R.T.(R)(CT)",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-01",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "8619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.