Active NPI
Brian T Prost, CRNA
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 8335-33
- Practice address
- 3237 S 16TH St
Milwaukee, WI 53215-4526 - Phone
- (414) 290-6720
- Fax
- (414) 290-6755
- NPI assigned
- Feb 26, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704288432 | MI | |
| Certified Registered Nurse Anesthetist | 367500000X | 8335-33 | WI | Primary |
Addresses
Primary practice location
3237 S 16TH St
Milwaukee, WI 53215-4526
Mailing address
111 E Wisconsin Ave Ste 2000
Milwaukee, WI 53202-4809
Phone (414) 290-6720
Other practice location 1
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 290-6720
Other practice location 2
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 290-6720
Other practice location 3
19333 W North Ave
Brookfield, WI 53045-4132
Phone (414) 290-6720
Other practice location 4
10101 S 27th St
Franklin, WI 53132-7209
Phone (414) 290-6720
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180508000134 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6709140395 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 325-4700
10148 S 27TH St
Oak Creek, WI 53154-5528
Phone (414) 377-9000
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132
375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 326-1800
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8000
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
- Ascension SE Wisconsin Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704288432 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients | |
| Zen Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Vituity-Wisconsin Anesthesia SC | Current | Accepting new patients |
Locations
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
10148 S 27th St
Oak Creek, WI 53154
Phone (262) 208-4676
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
Organizations & group practices 3
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.
-
- Certified Registered Nurse Anesthetist
- Oak Creek, WI
- NPI 1891483368
Nurse Anesthetist, Certified Registered, WI
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1801620067
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
Hospital
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522713600000",
"number": "1669973632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 E WISCONSIN AVE STE 2000",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532024809",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 S 16TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154526",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755"
}
],
"practiceLocations": [
{
"address_1": "201 N Mayfair Rd",
"address_purpose": "LOCATION",
"city": "Wauwatosa",
"state": "WI",
"postal_code": "532264216",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5000 W Chambers St",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532101650",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "19333 W North Ave",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530454132",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10101 S 27th St",
"address_purpose": "LOCATION",
"city": "Franklin",
"state": "WI",
"postal_code": "531327209",
"country_code": "US",
"telephone_number": "414-290-6720",
"fax_number": "414-290-6755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PROST",
"first_name": "BRIAN",
"middle_name": "T",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-02-26",
"last_updated": "2018-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704288432",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "8335-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.