Open Advanced MRI of Milwaukee, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

OPEN ADVANCED MRI OF MILWAUKEE, LLC

Practice address

12780 W North Ave
B
Brookfield, WI 53005-4628

Phone

(262) 782-1800

Fax

(262) 782-8118

NPI assigned

Jan 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ben Broghammer, MD

Title

MD

Phone

(262) 782-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

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.

• Robert Hinson, M.D.

  • Specialist
  • Milwaukee, WI
  • NPI 1477535011
  NPD (past)
• Miodrag M Popovich, M.D.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1134183023
  NPD (past)
• Jennifer E Tribble, M.D.

  • Diagnostic Radiology Physician
  • Shorewood, WI
  • NPI 1548469455
  NPD (past)
• Michael Wenzel, M.D.

  • Diagnostic Radiology Physician
  • Milwaukee, WI
  • NPI 1336124908
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902886096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12780 W NORTH AVE",
            "address_2": "B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-782-1800",
            "fax_number": "262-782-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12780 W NORTH AVE",
            "address_2": "B",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054628",
            "telephone_number": "262-782-1800",
            "fax_number": "262-782-8118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF MILWAUKEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROGHAMMER",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "262-782-1800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32873200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Om Behavioral Health, Inc
• Sadoun I Omari, M.D.
• One Medical Group, Inc. (One Medical)
• One Source Wellness & Chiropractic
• One Source Wellness and Chiropractic LLC (One Source Wellness and Chiropractic)
• Janis Lee Oppitz, ED.D, MA, PPS, NCSP
• Emily Jean Organ, APNP
• Antonina R. Orlando, MS, OTR
• Pamela Ann Orlandowhite
• Mary Teresa Ortell, OCCUPATIONAL THERAPI

• Diagnostic Radiology Physician in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Diagnostic Radiology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.