Dr-BR Supportive Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DR-BR SUPPORTIVE CARE

Practice address

4203 N 14TH St
Milwaukee, WI 53209-6940

Phone

(414) 665-0518

NPI assigned

Dec 12, 2012

Organization subpart

No

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

Authorized official

Name

Tawyana Duncan, NURSE

Title

Manager

Phone

(414) 554-0518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1902142359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 N 14TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096940",
            "telephone_number": "414-665-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 N 14TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532096940",
            "telephone_number": "414-665-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR-BR SUPPORTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "TAWYANA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "414-554-0518",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.