Individual provider Active NPI

Benjamin David Seadler, MD

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1659832855
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
7990-851 Issued in WI
Practice address
MCW, Department of Surgery
8701 Watertown Plank Road
Milwaukee, WI 53226
Phone
(414) 955-1833
NPI assigned
Mar 29, 2019
Last updated
Jul 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 7990-851 WI Primary

Addresses

Primary practice location

MCW, Department of Surgery
8701 Watertown Plank Road
Milwaukee, WI 53226

Mailing address

MCW, Department of Surgery
8701 Watertown Plank Road
Milwaukee, WI 53226

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
I20190821001474 WI Order and Referring Only - General SurgeryPractitioner - General Surgery 2062740608

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: bseadlermd307626@direct.froedtert.com

NPI Registry JSON

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1659832855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MCW, DEPARTMENT OF SURGERY",
            "address_2": "8701 WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MCW, DEPARTMENT OF SURGERY",
            "address_2": "8701 WATERTOWN PLANK ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53226",
            "telephone_number": "414-955-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEADLER",
        "first_name": "BENJAMIN",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-29",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "7990-851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.