Active NPI
Great Midwest Pain Specialists, S.C.
- Pain Medicine (Anesthesiology) Physician
- Brookfield, WI
National Provider Identifier
1598032328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 32725
- Legal business name
- GREAT MIDWEST PAIN SPECIALISTS, S.C.
- Practice address
- 21150 W Capitol Dr Ste 4
Brookfield, WI 53072-2909 - Phone
- (262) 366-0665
- Fax
- (262) 649-3226
- NPI assigned
- Nov 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeffrey T. Follansbee
- Title
- Owner
- Phone
- (262) 617-7415
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 32725 | WI | Primary |
Addresses
Primary practice location
21150 W Capitol Dr Ste 4
Brookfield, WI 53072-2909
Mailing address
225 S Executive Dr
Brookfield, WI 53005-4257
Phone (262) 787-4050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21150 W Capitol Dr
Brookfield, WI 53072
Phone (262) 366-0665
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Burlington, WI
- NPI 1023091824
-
- Family Nurse Practitioner
- Brookfield, WI
- NPI 1114272143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758499200000",
"number": "1598032328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 S EXECUTIVE DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054257",
"telephone_number": "262-787-4050",
"fax_number": "262-782-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21150 W CAPITOL DR STE 4",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530722909",
"telephone_number": "262-366-0665",
"fax_number": "262-649-3226"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREAT MIDWEST PAIN SPECIALISTS, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-11-22",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A",
"authorized_official_last_name": "FOLLANSBEE",
"authorized_official_first_name": "JEFFREY",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "262-617-7415"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "WI",
"license": "32725",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.