Organization Active NPI

School District of Brodhead

  • Local Education Agency (LEA)
  • Brodhead, WI
National Provider Identifier
1679752471
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
SCHOOL DISTRICT OF BRODHEAD
Practice address
2501 W 5TH Ave
Brodhead, WI 53520-2010
Phone
(608) 897-2141
Fax
(608) 897-2770
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Gail Anderson
Title
Director of Pupil Services
Phone
(608) 897-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

2501 W 5TH Ave
Brodhead, WI 53520-2010

Mailing address

2501 W 5TH Ave
Brodhead, WI 53520-2010
Phone (608) 897-2141

Other identifiers 1

IdentifierTypeStateIssuer
44218600MedicaidWI

National Provider Directory

National Provider Directory

Locations

2501 W 5th Ave
Brodhead, WI 53520
Phone (608) 897-2141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1679752471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 W 5TH AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202010",
            "telephone_number": "608-897-2141",
            "fax_number": "608-897-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 W 5TH AVE",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202010",
            "telephone_number": "608-897-2141",
            "fax_number": "608-897-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOOL DISTRICT OF BRODHEAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "DIRECTOR OF PUPIL SERVICES",
        "authorized_official_telephone_number": "608-897-2141"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "44218600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodhead, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; 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.