Brent Robert Macwilliams, NP,PHD

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

6619 Issued in WI

Practice address

777 Algoma Blvd
Oshkosh, WI 54901-3534

Phone

(920) 424-2424

NPI assigned

Jun 20, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

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.

• University of Wisconsin System Non Payroll

  • Clinic/Center
  • Oshkosh, WI
  • NPI 1134105505
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1689024655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549013551",
            "telephone_number": "920-424-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 ALGOMA BLVD",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549013534",
            "telephone_number": "920-424-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACWILLIAMS",
        "first_name": "BRENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "NP,PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "6619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Lynch, BSN, RN
• Brenda Lyons
• Brittnie S Maass
• Stephen James Maassen, MD
• Anne Michelle Machesky, MD
• Gonzalo Madrigal Jr., MD
• Christopher J Magiera, M.D.
• Sandra Magnuson
• Jenna Lamay Magsam
• Shawn Lee Mains, PT

• Adult Health Nurse Practitioner in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Adult Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.