Brotoloc South, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

NONE Issued in WI

Legal business name

BROTOLOC SOUTH, INC.

Practice address

209 S Taft St
Whitewater, WI 53190-2139

Phone

(262) 473-0480

Fax

(262) 473-0484

NPI assigned

Feb 13, 2007

Organization subpart

No

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

Authorized official

Name

Nancy Schneider

Title

Regional Director

Phone

(262) 473-0480

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brotoloc Doing business as

Tax ID family

Brotoloc South Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Brotoloc South, Inc.

  • Non-emergency Medical Transport (VAN)
  • West Allis, WI
  • NPI 1437472966
  NPD tax ID
• Brotoloc South, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1982933503
  NPD tax ID

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Brotoloc South, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Whitewater, WI
  • NPI 1407185325
  NPPES parent name
• Brotoloc South, Inc.

  • Non-emergency Medical Transport (VAN)
  • West Allis, WI
  • NPI 1437472966
  NPPES parent name
• Brotoloc South, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Allis, WI
  • NPI 1982933503
  NPPES parent name

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1518009596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 S TAFT ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902139",
            "telephone_number": "262-473-0480",
            "fax_number": "262-473-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S TAFT ST",
            "city": "WHITEWATER",
            "state": "WI",
            "postal_code": "531902139",
            "telephone_number": "262-473-0480",
            "fax_number": "262-473-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTOLOC SOUTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "262-473-0480"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "NONE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41479200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brotoloc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Forrest Lee Bright, DNP
• Patricia Lee Bromley, PH.D.
• Brotoloc Inc. Outpatient Clinic
• Brotoloc Inc. Outpatient Clinic
• Brotoloc South, Inc.
• Maria Ann Brown
• Laura B Carney, APNP
• Chrysalis Psychotherapy LLC
• Judith Ciasto, M.D.
• City of Whitewater

• Non-emergency Medical Transport (VAN) in Whitewater, WI
• Providers in Whitewater, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.