Milwaukee Skin Center,S.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

27925 Issued in WI

Legal business name

MILWAUKEE SKIN CENTER,S.C.

Practice address

7400 W Brown Deer Rd
Milwaukee, WI 53223-2078

Phone

(414) 355-2405

Fax

(414) 355-6460

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. James Edward Berman, M.D.

Title

President

Phone

(414) 355-2405

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1659466779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232078",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 W BROWN DEER RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532232078",
            "telephone_number": "414-355-2405",
            "fax_number": "414-355-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE SKIN CENTER,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-355-2405",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "WI",
            "license": "27925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31392100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Milwaukee Psychotherapy Collaborative
• Milwaukee Public Schools
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• Milwaukee Rehabilitation Hospital, LLC
• Milwaukee Rheumatology Center, SC
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• Milwaukee Spine and Joint Center
• Milwaukee Urological SC
• Milwaukee VA
• Milwaukee VA

• Dermatology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.