Individual provider Active NPI

Norman D Buebendorf, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Milwaukee, WI
National Provider Identifier
1629079579
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
29346 Issued in WI
Practice address
2500 N Mayfair Rd
Suite 670
Milwaukee, WI 53226-1409
Phone
(414) 453-7418
Fax
(414) 453-7420
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Plastic Surgery) Physician 2082S0105X 29346 WI Primary

Addresses

Primary practice location

2500 N Mayfair Rd
Suite 670
Milwaukee, WI 53226-1409

Mailing address

2500 N Mayfair Rd
Suite 670
Milwaukee, WI 53226-1409
Phone (414) 453-7418

Other identifiers 1

IdentifierTypeStateIssuer
31442800MedicaidWI

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
I20060317000300 WI Practitioner - Hand SurgeryPractitioner - Plastic and Reconstructive Surgery 2466469317 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29346WIMDSurgery of the Hand (Plastic Surgery) Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1629079579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 670",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-453-7418",
            "fax_number": "414-453-7420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N MAYFAIR RD",
            "address_2": "SUITE 670",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261409",
            "telephone_number": "414-453-7418",
            "fax_number": "414-453-7420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUEBENDORF",
        "first_name": "NORMAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "WI",
            "license": "29346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31442800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.