Active NPI
Bryan Hartland Lassner, M.D.
- Emergency Medicine Physician
- Beaver Dam, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 75454-20
- Practice address
- 707 S University Ave
Beaver Dam, WI 53916-3027 - Phone
- (920) 887-6606
- NPI assigned
- Apr 3, 2012
- Last updated
- Jul 3, 2025
- 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 | 336098920 | IL | |
| Emergency Medicine Physician | 207P00000X | 75454-20 | WI | Primary |
Addresses
Primary practice location
707 S University Ave
Beaver Dam, WI 53916-3027
Mailing address
2812 S Delaware Ave
Milwaukee, WI 53207-2515
Phone (503) 740-2391
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800
Other practice location 2
701 W North Ave
Melrose Park, IL 60160-1699
Phone (708) 538-4975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
707 S University Ave
Beaver Dam, WI 53916-3027
Phone (954) 939-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336098920 | IL | MD | Emergency Medicine Physician |
| 75454-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Chicago, Inc. | Current | Accepting new patients | |
| Ihc Beaver Dam Emergency Physicians, LLC | Emergency Medicine | Current | Accepting new patients |
| Insight Chicago, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Emergency Medicine | Current | Accepting new patients |
Locations
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
707 S University Ave
Beaver Dam, WI 53916
Phone (920) 887-4006
111 E Wisconsin Ave
Ste 2000
Milwaukee, WI 53202
Phone (414) 290-6700
Interoperability endpoints
- bryan.lassner@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Beaver Dam, WI
- NPI 1912109836
-
dba Insight Hospital & Medical Center Chicago
- Internal Medicine Physician
- Chicago, IL
- NPI 1881261006
-
dba Marshfield Medical Center
- Clinic/Center
- Marshfield, WI
- NPI 1093221434
Emergency Medicine
-
dba Insight Hospital & Medical Center Chicago
- Rehabilitation Hospital Unit
- Chicago, IL
- NPI 1154308518
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Marshfield Medical Center - Beaver Dam
- General Acute Care Hospital
- Beaver Dam, WI
- NPI 1023187416
-
dba (Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic
- Clinic/Center
- Beaver Dam, WI
- NPI 1508184896
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751500800000",
"number": "1871859884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2812 S DELAWARE AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532072515",
"telephone_number": "503-740-2391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S UNIVERSITY AVE",
"city": "BEAVER DAM",
"state": "WI",
"postal_code": "539163027",
"telephone_number": "920-887-6606"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-778-7800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 W North Ave",
"address_purpose": "LOCATION",
"city": "Melrose Park",
"state": "IL",
"postal_code": "601601699",
"country_code": "US",
"telephone_number": "708-538-4975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LASSNER",
"first_name": "BRYAN",
"middle_name": "HARTLAND",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-03",
"last_updated": "2025-07-03",
"certification_date": "2025-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IL",
"license": "336098920",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "75454-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.
- 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.