Organization Active NPI

Bradley W. Mays, M.D., S.C.

  • Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1700085537
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
34244 Issued in WI
Legal business name
BRADLEY W. MAYS, M.D., S.C.
Practice address
2015 E Newport Ave Ste 305
Milwaukee, WI 53211-2949
Phone
(414) 967-8786
Fax
(414) 961-0335
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Authorized official

Name
Dr. Bradley Wolfe Mays, M.D.
Title
President
Phone
(414) 967-8786

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 34244 WI Primary

Addresses

Primary practice location

2015 E Newport Ave Ste 305
Milwaukee, WI 53211-2949

Mailing address

2015 E Newport Ave Ste 305
Milwaukee, WI 53211-2949
Phone (414) 967-8786

Other identifiers 1

IdentifierTypeStateIssuer
32552400MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1700085537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112949",
            "telephone_number": "414-967-8786",
            "fax_number": "414-961-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2015 E NEWPORT AVE STE 305",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532112949",
            "telephone_number": "414-967-8786",
            "fax_number": "414-961-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY W. MAYS, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "MAYS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "WOLFE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "414-967-8786",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "WI",
            "license": "34244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32552400",
            "state": "WI"
        }
    ],
    "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 Jul 12, 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.