Individual provider Active NPI

Mary M Milbrath, MD

  • Otolaryngology Physician
  • Brookfield, WI
National Provider Identifier
1659365534
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
29484 Issued in WI
Practice address
19475 W North Ave
Suite 301
Brookfield, WI 53045-4199
Phone
(262) 780-4444
Fax
(262) 780-4329
NPI assigned
Sep 7, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 29484 WI Primary

Addresses

Primary practice location

19475 W North Ave
Suite 301
Brookfield, WI 53045-4199

Mailing address

19475 W North Ave
Suite 301
Brookfield, WI 53045-4199
Phone (262) 780-4444

Other identifiers 1

IdentifierTypeStateIssuer
31821900MedicaidWI

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
I20100205000094 WI Practitioner - Otolaryngology 6204979750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Wisconsin School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19475 W N Ave
Suite 301
Brookfield, WI 53045-4199
Phone (262) 780-4444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29484WIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary M. Milbrath, MD, SC Otolaryngology CurrentSince May 17, 1995 Accepting new patients
Ear, Nose & Throat Treatment Center, LLC PastSince Feb 5, 2010 Accepting new patients

Locations

19475 W North Ave
Ste 301
Brookfield, WI 53045
Phone (262) 780-4444

104 E Summit Ave
Ste 2
Wales, WI 53183
Phone (262) 968-5500

Interoperability endpoints

  • Direct secure messaging: mmilbrath9991@direct.phci.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1659365534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 301",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-780-4444",
            "fax_number": "262-780-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19475 W NORTH AVE",
            "address_2": "SUITE 301",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530454199",
            "telephone_number": "262-780-4444",
            "fax_number": "262-780-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILBRATH",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WI",
            "license": "29484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31821900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.