Active NPI
Bryant Cannon
- Other Specialist/Technologist
- Milwaukee, WI
National Provider Identifier
1801081393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- VN188908
- Practice address
- 544 E Ogden Ave
700-265
Milwaukee, WI 53202-2698 - Phone
- (414) 745-1737
- NPI assigned
- Sep 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | VN188908 | CA | Primary |
Addresses
Primary practice location
544 E Ogden Ave
700-265
Milwaukee, WI 53202-2698
Mailing address
544 E Ogden Ave
700-265
Milwaukee, WI 53202-2698
Phone (414) 745-1737
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
| License | State | Type | Specialty |
|---|---|---|---|
| VN188908 | CA | MD | Other Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189209600000",
"number": "1801081393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "544 E OGDEN AVE",
"address_2": "700-265",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022698",
"telephone_number": "414-745-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "544 E OGDEN AVE",
"address_2": "700-265",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532022698",
"telephone_number": "414-745-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANNON",
"first_name": "BRYANT",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-09-08",
"last_updated": "2007-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "CA",
"license": "VN188908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.