Active NPI
Brian Kenelm Allen, D.O.
- Pediatrics Physician
- La Crosse, WI
National Provider Identifier
1780684118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 28854
- Practice address
- 1300 Badger St
Student Health Center
La Crosse, WI 54601-1502 - Phone
- (608) 785-5104
- Fax
- (608) 785-5146
- NPI assigned
- Jul 28, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 28854 | WI | Primary |
Addresses
Primary practice location
1300 Badger St
Student Health Center
La Crosse, WI 54601-1502
Mailing address
31355 County Road 1
La Crescent, MN 55947-4280
Phone (507) 643-6558
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
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28854 | WI | MD | Pediatrics Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba UW - La Crosse Student Health Center
- Clinic/Center
- La Crosse, WI
- NPI 1063682938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1780684118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31355 COUNTY ROAD 1",
"city": "LA CRESCENT",
"state": "MN",
"postal_code": "559474280",
"telephone_number": "507-643-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BADGER ST",
"address_2": "STUDENT HEALTH CENTER",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546011502",
"telephone_number": "608-785-5104",
"fax_number": "608-785-5146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRIAN",
"middle_name": "KENELM",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "28854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.