Brotkowski Acquisitions LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

BROTKOWSKI ACQUISITIONS LLC

Practice address

3000 Westhill Dr Ste 301
Wausau, WI 54401-3795

Phone

(715) 845-4511

Fax

(715) 845-1898

NPI assigned

Oct 8, 2019

Last updated

Oct 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eddie BrotkowskiNPI 1003100470

Title

DDS,MD

Phone

(847) 612-3407

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Eddie Kiyoshi Brotkowski, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Fond Du Lac, WI
  • NPI 1003100470
  Authorized official Same address or phone

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1528600863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR STE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR STE 301",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-845-4511",
            "fax_number": "715-845-1898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTKOWSKI ACQUISITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "BROTKOWSKI",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "DDS,MD",
        "authorized_official_telephone_number": "847-612-3407"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Lee Brimacombe, D.D.S
• Julie A Brinkman, RN
• Sharon Brinkman, CRNA
• Holly K Briquelet Miller
• Lynda Broschardt, LPC
• Anna Mary Brown, M.D.
• Christopher W Brown, M.D.
• Courtney Ruth Brown
• Douglas R Brown, MD
• Kimberly A Brown, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Wausau, WI
• Providers in Wausau, WI by specialty
• Oral and Maxillofacial Surgery (Dentist) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.