NPIMap

Organization Active NPI

Brotoloc Health Care Systems, Inc

Doing business as Brotoloc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Eau Claire, WI
National Provider Identifier
1760525091
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
1907 Issued in WI
Legal business name
BROTOLOC HEALTH CARE SYSTEMS, INC
Doing business as
Brotoloc
Practice address
2710 N Town Hall Rd
Eau Claire, WI 54703-9687
Phone
(715) 874-5050
NPI assigned
Feb 15, 2007
Last updated
Apr 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Authorized official

Name
Mr. Joel D. Breed
Title
President
Phone
(715) 832-5085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 1907 WI Primary

Addresses

Primary practice location

2710 N Town Hall Rd
Eau Claire, WI 54703-9687

Mailing address

2710 N Town Hall Rd
Eau Claire, WI 54703-9687
Phone (715) 874-5050

Other identifiers 1

IdentifierTypeStateIssuer
42180500MedicaidWI

Other names 1

  • Brotoloc Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Brotoloc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365724800000",
    "number": "1760525091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 N TOWN HALL RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039687",
            "telephone_number": "715-874-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 N TOWN HALL RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547039687",
            "telephone_number": "715-874-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROTOLOC HEALTH CARE SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2013-04-12",
        "status": "A",
        "authorized_official_last_name": "BREED",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-832-5085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "1907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42180500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brotoloc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.