NPIMap

Organization Active NPI

Wheaton Franciscan Medical Group

  • Urology Physician
  • Brookfield, WI
National Provider Identifier
1639250210
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
WHEATON FRANCISCAN MEDICAL GROUP
Practice address
19475 W North Ave
Suite 305
Brookfield, WI 53045-4199
Phone
(262) 780-4070
Fax
(262) 780-4050
NPI assigned
Oct 18, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Larry Wade
Title
Director of Finance
Phone
(414) 465-3000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Urology Physician 208800000X Primary

Addresses

Primary practice location

19475 W North Ave
Suite 305
Brookfield, WI 53045-4199

Mailing address

19475 W North Ave
Suite 305
Brookfield, WI 53045-4199
Phone (262) 780-4070

Other identifiers 1

IdentifierTypeStateIssuer
1013860011OtherWIDME

National Provider Directory

National Provider Directory
Tax ID family
Kaleidoscope Clinic15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

19333 W North Ave
Fl 4
Brookfield, WI 53045

600 Hartbrook Dr
#112
Hartland, WI 53029

3237 S 16th St
Ste 208
Milwaukee, WI 53215

3237 S 16th St
Ste 2300
Milwaukee, WI 53215

3267 S 16th St
Ste 108
Milwaukee, WI 53215
Phone (414) 389-2780

10180 Washington Ave
#104
Mount Pleasant, WI 53177

10180 Washington Ave
Ste 107
Mount Pleasant, WI 53177
Phone (262) 687-5300

3803 Spring St
#600
Mount Pleasant, WI 53405
Phone (414) 426-1220

3805B Spring St
Ste 20
Mount Pleasant, WI 53405
Phone (262) 687-2222

3805B Spring St
Ste 320
Mount Pleasant, WI 53405
Phone (262) 637-6106

3807 Spring St
Fl 1
Mount Pleasant, WI 53405

3811 Spring St
#102
Mount Pleasant, WI 53405
Phone (262) 687-5800

3811 Spring St
Ste 102
Mount Pleasant, WI 53405
Phone (262) 687-5800

8020 S Howell Ave
Oak Creek, WI 53154
Phone (414) 647-3920

2700 W 9th Ave
Ste 213
Oshkosh, WI 54904
Phone (920) 236-1449

1120 Main St
Union Grove, WI 53182
Phone (262) 687-8000

201 N Mayfair Rd
#550
Wauwatosa, WI 53226
Phone (414) 258-3376

5000 W Chambers St
#3
Wauwatosa, WI 53210

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639250210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 305",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-780-4070",
            "fax_number": "262-780-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 305",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-780-4070",
            "fax_number": "262-780-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEATON FRANCISCAN MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "414-465-3000"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1013860011",
            "state": "WI"
        }
    ],
    "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 11, 2025; 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.