Individual provider Active NPI

Neville Winston Duncan, M.D.

  • General Practice Physician
  • Milwaukee, WI
National Provider Identifier
1740316181
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
37370-020 Issued in WI
Practice address
1134 W North Ave FL 2
Milwaukee, WI 53205
Phone
(414) 269-9660
Fax
(414) 435-3126
NPI assigned
Feb 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X 37370-020 WI
Obstetrics & Gynecology Physician 207V00000X 37370-020 WI
General Practice Physician 208D00000X 37370-020 WI Primary

Addresses

Primary practice location

1134 W North Ave FL 2
Milwaukee, WI 53205

Mailing address

8883E North Swan Road
Milwaukee, WI 53224
Phone (262) 417-5062

Other practice location 1

2835 North 32 St
Milwaukee, WI 53210
Phone (414) 342-6200

Other identifiers 1

IdentifierTypeStateIssuer
100041767MedicaidWI

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
I20120808000886 WI Practitioner - Obstetrics/GynecologyPractitioner - General Practice 5597911495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: General Practice
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Healthcare, IncGroup PAC ID 0749182160, 15 clinicians

Practice addresses (Care Compare)

5408 W Burleigh St
Milwaukee, WI 53210-1624
Phone (414) 362-8147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37370-020WIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Changing Ministries Substance Abuse Services Current Accepting new patients
Horizon Healthcare, Inc CurrentSince Mar 1, 2017 Accepting new patients
Horizon Healthcare, Inc CurrentSince Mar 1, 2017 Accepting new patients

Locations

3410 80th St
Kenosha, WI 53142
Phone (262) 697-0825

5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520

5005 W Howard Ave
Milwaukee, WI 53220

1134 W North Ave
Fl 2
Milwaukee, WI 53205
Phone (414) 269-9660

2835 N 32nd St
Milwaukee, WI 53210
Phone (414) 342-6200

4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144

2819 W Highland Blvd
Milwaukee, WI 53208
Phone (414) 939-7145

5555 N 51st St
Milwaukee, WI 53218
Phone (414) 527-6970

835 Wisconsin Ave
Racine, WI 53403

741 N Grand Ave
Ste 200
Waukesha, WI 53186
Phone (262) 309-6243

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.

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1740316181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8883E NORTH SWAN ROAD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53224",
            "telephone_number": "262-417-5062",
            "fax_number": "414-797-4377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 W NORTH AVE FL 2",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53205",
            "telephone_number": "414-269-9660",
            "fax_number": "414-435-3126"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 North 32 St",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "53210",
            "country_code": "US",
            "telephone_number": "414-342-6200",
            "fax_number": "414-342-4480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "NEVILLE",
        "middle_name": "WINSTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WI",
            "license": "37370-020",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "37370-020",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WI",
            "license": "37370-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100041767",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.