NPIMap

Organization Active NPI

Iris Health Clinic

  • Substance Abuse Rehabilitation Facility
  • Brodhead, WI
National Provider Identifier
1902501208
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
IRIS HEALTH CLINIC
Practice address
E401 23Rd St
Brodhead, WI 53520-2203
Phone
(262) 420-9088
NPI assigned
Apr 4, 2023
Last updated
May 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Authorized official

Name
Peter Brunzelle
Title
President/Owner
Phone
(262) 420-9088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

E401 23Rd St
Brodhead, WI 53520-2203

Mailing address

255 W Broadway
Waukesha, WI 53186-4832
Phone (262) 420-9088

National Provider Directory

National Provider Directory
Tax ID family
Iris Health Clinic5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1902501208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 W BROADWAY",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531864832",
            "telephone_number": "262-420-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E401 23RD ST",
            "city": "BRODHEAD",
            "state": "WI",
            "postal_code": "535202203",
            "telephone_number": "262-420-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIS HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "BRUNZELLE",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-420-9088"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brodhead, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; 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.