Active NPI
Brady G McIntosh, M.D.
- Emergency Medicine Physician
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 63688
- Practice address
- 9200 W Wisconsin Ave
Emergency Medicine
Milwaukee, WI 53226-3522 - Phone
- (414) 805-6450
- Fax
- (414) 805-6464
- NPI assigned
- Jun 18, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 11013891A | IN | |
| Emergency Medicine Physician | 207P00000X | 63688 | WI | Primary |
Addresses
Primary practice location
9200 W Wisconsin Ave
Emergency Medicine
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Emergency Medicine
Milwaukee, WI 53226-3522
Phone (414) 805-6450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841495074 | Medicaid | WI |
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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 259-7200
3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8173
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
- Ascension SE Wisconsin Hospital
- Ascension All Saints Hospital
- Ascension St Francis Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11013891A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Emergency Medicine | Current | Accepting new patients |
| Integrated Therapeutic Massage LLC | Past | Accepting new patients | |
| Icem, LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
4805 S Moorland Rd
New Berlin, WI 53151
Phone (262) 798-7200
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
10625 W North Ave
Ste 102
Wauwatosa, WI 53226
Phone (414) 877-5350
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
Emergency Medicine
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Massage Therapist
- Milwaukee, WI
- NPI 1144994096
-
- Emergency Medicine Physician
- Indianapolis, IN
- NPI 1467788208
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Racine, WI
- NPI 1639123284
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1225087190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1841495074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "EMERGENCY MEDICINE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6450",
"fax_number": "414-805-6464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 W WISCONSIN AVE",
"address_2": "EMERGENCY MEDICINE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263522",
"telephone_number": "414-805-6450",
"fax_number": "414-805-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTOSH",
"first_name": "BRADY",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "11013891A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "63688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1841495074",
"state": "WI"
}
],
"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 Mar 18, 2015; 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.
- 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.