Active NPI
Christopher Bradley Wills, D.O
- Internal Medicine Physician
- Salem, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 64174
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K400616957 | Other | WI | MEDICARE |
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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5101019951 | MI | MD | Internal Medicine Physician |
| 64174 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Internal Medicine | Current | 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
- 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.
-
dba Froedtert South Medical Group
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension All Saints Hospital
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
-
dba Alliance HomeCare
- Community Based Hospice Care Agency
- Pleasant Prairie, WI
- NPI 1053314252
-
dba Aveanna Home Health
- Home Health Agency
- Brookfield, WI
- NPI 1710967104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.