Organization Active NPI

Redmed Management LLC

  • Primary Care Clinic/Center
  • Brookfield, WI
National Provider Identifier
1790668796
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
REDMED MANAGEMENT LLC
Practice address
14665 W Lisbon Rd Ste 1a
Brookfield, WI 53005-1689
Phone
(872) 325-3100
NPI assigned
Jul 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

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

Authorized official

Name
Rahul Gajjala
Title
Ceo
Phone
(872) 325-3100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

14665 W Lisbon Rd Ste 1a
Brookfield, WI 53005-1689

Mailing address

9900 Westpark Dr Ste 226
Houston, TX 77063-5286
Phone (872) 325-3100

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1790668796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 WESTPARK DR STE 226",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770635286",
            "telephone_number": "872-325-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 W LISBON RD STE 1A",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530051689",
            "telephone_number": "872-325-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDMED MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "GAJJALA",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "872-325-3100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.