James a. Brostrom

Primary specialty

SpecialistTaxonomy code 174400000X

License

14650 Issued in WI

Legal business name

JAMES A. BROSTROM

Doing business as

Pain Care Radiology Services

Practice address

1900 Laura LN
Waukesha, WI 53186-2808

Phone

(262) 896-9661

Fax

(262) 896-9662

NPI assigned

Jan 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James A Brostrom

Title

Owner

Phone

(262) 896-9661

Specialties & licenses 1

Addresses

Other names 1

• Pain Care Radiology Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric M Dorn, M.D.

  • Diagnostic Radiology Physician
  • Mequon, WI
  • NPI 1033192562
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1538211537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 338",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531870338",
            "telephone_number": "262-896-9661",
            "fax_number": "262-896-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LAURA LN",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531862808",
            "telephone_number": "262-896-9661",
            "fax_number": "262-896-9662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A. BROSTROM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BROSTROM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-896-9661",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "14650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pain Care Radiology Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joel Jahimiak
• Karen Marie Jahimiak, D.D.S.
• Arthur E Jahn, DDS
• Patricia Rebecca Jahr
• Eric Michael Jakubowski, M.D.
• Jacquelyn James
• Maryam James, LCSW, CSAC, ICS
• Natalie A James, MS, CCC-SLP
• Marissa Janatis, PTA
• Lindsay Marie Janda, PA

• Specialist in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.