Active NPI
Brian Resop
- Certified Registered Nurse Anesthetist
- Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4822
- Practice address
- 225 Memorial Dr
Berlin, WI 54923-1243 - Phone
- (920) 361-5340
- Fax
- (920) 361-5499
- NPI assigned
- Apr 18, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 162162-30 | WI | |
| Certified Registered Nurse Anesthetist | 367500000X | 4822 | WI | Primary |
Addresses
Primary practice location
225 Memorial Dr
Berlin, WI 54923-1243
Mailing address
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-5340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790075299 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 361-1313
705 S University Ave
MMC Beaver Dam Medical Offices
Beaver Dam, WI 53916-3053
Phone (920) 887-7181
Hospital & facility affiliations
- Thedacare Medical Center-Waupaca
- Thedacare Regional Med Ctr - Neenah
- Marshfield Medical Center - Beaver Dam (MMC-BD)
- Thedacare Medical Center - New London
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 162162-30 | WI | MD | Registered Nurse |
| 4822 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Association of Hospital Anesthesiologists SC | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Prairie Ridge Health, Inc. | Current | Accepting new patients | |
| Prairie Ridge Health Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| MCHS Hospitals, Inc. | Current | Accepting new patients | |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
705 S University Ave
Ofc
Beaver Dam, WI 53916
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
736 Ford St
Kimberly, WI 54136
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
130 2nd St
#A107
Neenah, WI 54956
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000
Organizations & group practices 16
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.
-
- Anesthesiology Physician
- Neenah, WI
- NPI 1720076474
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
-
- Critical Access Hospital
- Neillsville, WI
- NPI 1346239373
-
- Critical Access Hospital
- Columbus, WI
- NPI 1154403657
-
- Anesthesiology Physician
- Wausau, WI
- NPI 1518999648
-
- Pharmacy
- Beaver Dam, WI
- NPI 1295771780
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Clinic/Center
- Chetek, WI
- NPI 1659008605
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
-
- Critical Access Hospital
- Clintonville, WI
- NPI 1144675745
-
- Critical Access Hospital
- New London, WI
- NPI 1538127220
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1861943409
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1679937494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500249600000",
"number": "1790075299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 MEMORIAL DR",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231243",
"telephone_number": "920-361-5340",
"fax_number": "920-361-5499"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 MEMORIAL DR",
"city": "BERLIN",
"state": "WI",
"postal_code": "549231243",
"telephone_number": "920-361-5340",
"fax_number": "920-361-5499"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESOP",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-18",
"last_updated": "2017-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "162162-30",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "4822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790075299",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.