Active NPI
William A Pennant, M.D.
- General Practice Physician
- Milwaukee, WI
National Provider Identifier
1811345184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 74216-20
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 805-8710
- NPI assigned
- May 27, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 74216-20 | WI | Primary |
| Neurology Physician | 2084N0400X | 74216-20 | WI | |
| Surgery Physician | 208600000X | MT211396 | PA | |
| General Practice Physician | 208D00000X | 01079773A | IN |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Other practice location 1
1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (484) 862-3256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT211396 | PA | MD | Surgery Physician |
| 01079773A | IN | MD | General Practice Physician |
| 74216-20 | WI | MD | General Practice 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761004800000",
"number": "1811345184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S CEDAR CREST BLVD",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181036202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-8710"
}
],
"practiceLocations": [
{
"address_1": "1200 S Cedar Crest Blvd",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181036202",
"country_code": "US",
"telephone_number": "484-862-3256",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENNANT",
"first_name": "WILLIAM",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-27",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "WI",
"license": "74216-20",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WI",
"license": "74216-20",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MT211396",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "IN",
"license": "01079773A",
"primary": false
}
],
"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 Oct 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.