Individual provider Active NPI

Julius T. Breyer

  • Internal Medicine Physician
  • Oconomowoc, WI
National Provider Identifier
1760621809
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16673-020 Issued in WI
Practice address
34304 Sunset Dr
Oconomowoc, WI 53066-8732
Phone
(262) 646-3999
Fax
(262) 646-3999
NPI assigned
Feb 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16673-020 WI Primary

Addresses

Primary practice location

34304 Sunset Dr
Oconomowoc, WI 53066-8732

Mailing address

34304 Sunset Dr
Oconomowoc, WI 53066-8732
Phone (262) 646-3999

Other names 1

  • Dr. Julius Thomas Breyer Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
16673-020WIMDInternal Medicine Physician
16673WIMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234396800000",
    "number": "1760621809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34304 SUNSET DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668732",
            "telephone_number": "262-646-3999",
            "fax_number": "262-646-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34304 SUNSET DR",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530668732",
            "telephone_number": "262-646-3999",
            "fax_number": "262-646-3999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREYER",
        "first_name": "JULIUS",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "16673-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIUS",
            "last_name": "BREYER",
            "middle_name": "THOMAS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.