Individual provider Active NPI

Brian C. Gadbaw, M.D.

  • Pediatrics Physician
  • Madison, WI
National Provider Identifier
1548225592
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
48727 Issued in WI
Practice address
University of Wisconsin Hospital
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001
Phone
(608) 263-0572
Fax
(608) 890-7127
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 48727 WI Primary

Addresses

Primary practice location

University of Wisconsin Hospital
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001

Mailing address

University of Wisconsin Hospital
600 Highland Ave. Room H4/831-8320
Madison, WI 53792-0001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48727WIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1548225592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN HOSPITAL",
            "address_2": "600 HIGHLAND AVE. ROOM H4/831-8320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "fax_number": "608-890-7127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF WISCONSIN HOSPITAL",
            "address_2": "600 HIGHLAND AVE. ROOM H4/831-8320",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537920001",
            "telephone_number": "608-263-0572",
            "fax_number": "608-890-7127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADBAW",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "48727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.