Individual provider Active NPI

Robert Harold Sewell, M.D.

  • Surgery Physician
  • Brookfield, WI
National Provider Identifier
1851692339
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
14500-020 Issued in WI
Practice address
17760 Gebhardt Rd
Brookfield, WI 53045-5031
Phone
(262) 784-8768
NPI assigned
Nov 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 14500-020 WI Primary

Addresses

Primary practice location

17760 Gebhardt Rd
Brookfield, WI 53045-5031

Mailing address

17760 Gebhardt Rd
Brookfield, WI 53045-5031
Phone (262) 784-8768

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14500-020WIMDSurgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1851692339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17760 GEBHARDT RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455031",
            "telephone_number": "262-784-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17760 GEBHARDT RD",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455031",
            "telephone_number": "262-784-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "ROBERT",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "14500-020",
            "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 Nov 15, 2010; 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.