Individual provider Active NPI

Bryan A Bell, O.D.

  • Optometrist
  • Brookfield, WI
National Provider Identifier
1801874185
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3010-035 Issued in WI
Practice address
13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074
Phone
(262) 505-5440
Fax
(262) 505-5414
NPI assigned
Jan 6, 2006
Last updated
Mar 25, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3010-035 WI Primary

Addresses

Primary practice location

13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074

Mailing address

13965 W Burleigh Rd Ste 108
Brookfield, WI 53005-3074
Phone (262) 505-5440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051221000992 WI Practitioner - Optometry 9537181227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier EyesGroup PAC ID 0648590307, 2 clinicians

Practice addresses (Care Compare)

13965 W Burleigh Rd
Suite 108
Brookfield, WI 53005-3074
Phone (262) 505-5440

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3010WIMDChiropractor
3010-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Eyes Optometrist CurrentSince May 1, 2015 Accepting new patients

Locations

13965 W Burleigh Rd
Ste 108
Brookfield, WI 53005
Phone (262) 505-5440

7815 W Burleigh St
Milwaukee, WI 53222
Phone (414) 873-5135

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1801874185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13965 W BURLEIGH RD STE 108",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053074",
            "telephone_number": "262-505-5440",
            "fax_number": "262-505-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13965 W BURLEIGH RD STE 108",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530053074",
            "telephone_number": "262-505-5440",
            "fax_number": "262-505-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELL",
        "first_name": "BRYAN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3010-035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.