Individual provider Active NPI

Christopher Bradley Wills, D.O

  • Internal Medicine Physician
  • Salem, WI
National Provider Identifier
1558622506
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
64174 Issued in WI
Practice address
7322 236TH Ave
Salem, WI 53168-9664
Phone
(262) 671-7550
Fax
(262) 671-7555
NPI assigned
Jun 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 64174 WI Primary
Internal Medicine Physician 207R00000X 5101019951 MI

Addresses

Primary practice location

7322 236TH Ave
Salem, WI 53168-9664

Mailing address

7322 236TH Ave
Salem, WI 53168-9664
Phone (262) 671-7550

Other identifiers 1

IdentifierTypeStateIssuer
K400616957OtherWIMEDICARE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827001931 WI Practitioner - Internal Medicine 8224344841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Froedtert South IncGroup PAC ID 9537071196, 158 clinicians

Practice addresses (Care Compare)

7322 236TH Ave
Salem, WI 53168-9664
Phone (262) 577-8460

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
69.39
Promoting interoperability
100
Improvement activities
40
Cost
74.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101019951MIMDInternal Medicine Physician
64174WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert South, Inc. CurrentSince Jan 2, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Internal Medicine CurrentSince Aug 10, 2015 Accepting new patients
Froedtert South, Inc. Past Accepting new patients
The Medical College of Wisconsin, Inc. Internal Medicine Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

2408 4 Mile Rd
Caledonia, WI 53402
Phone (262) 687-5995

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

6308 8th Ave
#3030
Kenosha, WI 53143
Phone (262) 656-3600

6308 8th Ave
Ste 3030
Kenosha, WI 53143
Phone (262) 656-8895

6308 8th Ave
Ste 2000
Kenosha, WI 53143
Phone (262) 653-5300

10256 Old Green Bay Rd
Pleasant Prairie, WI 53158
Phone (262) 551-4200

10256 Old Green Bay Rd
Fl 2
Pleasant Prairie, WI 53158
Phone (262) 551-4200

7322 236th Ave
Salem, WI 53168
Phone (262) 577-8460

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: cwills346911@direct.froedtert.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1558622506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7322 236TH AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689664",
            "telephone_number": "262-671-7550",
            "fax_number": "262-671-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7322 236TH AVE",
            "city": "SALEM",
            "state": "WI",
            "postal_code": "531689664",
            "telephone_number": "262-671-7550",
            "fax_number": "262-671-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "CHRISTOPHER",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "64174",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019951",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K400616957",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, WI

Sources for this page

Verify at the official NPI Registry.