Individual provider Active NPI

Robert William Bjerregaard, M.D.

  • Ophthalmology Physician
  • Milwaukee, WI
National Provider Identifier
1912352832
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NO75401-20 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy Ste 140
Milwaukee, WI 53215-3693
Phone
(414) 385-8725
NPI assigned
Apr 28, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Ophthalmology Physician 207W00000X NO75401-20 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy Ste 140
Milwaukee, WI 53215-3693

Mailing address

2801 W Kinnickinnic River Pkwy Ste 140
Milwaukee, WI 53215-3693
Phone (414) 385-8725

Other identifiers 2

IdentifierTypeStateIssuer
NO75401-20OtherWIWISCONSIN BOARD OF MEDICINE
CO1777MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL info@eyephysicianassociates.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909001136 WI Practitioner - Ophthalmology 8022437722 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Physician Associates SCGroup PAC ID 9931171402, 8 clinicians

Practice addresses (Care Compare)

1249 W Liebau Rd
Suite 102
Mequon, WI 53092-3397
Phone (414) 928-2020

13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7373

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 928-2020

4300 W Layton Ave
Suite 100
Greenfield, WI 53220-4136
Phone (414) 928-2020

8375 S Howell Ave
Suite 204
Oak Creek, WI 53154-8344
Phone (414) 928-2020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.71 of 100Reported as group
Quality
83.61
Improvement activities
40
Cost
70.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NO75401-20WIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Physician Associates, S.C. Ophthalmology CurrentSince Jul 23, 2021 Accepting new patients
Eye Physician Associates, S.C. Ophthalmology CurrentSince Jul 23, 2021 Accepting new patients

Locations

1249 W Liebau Rd
Ste 102
Mequon, WI 53092
Phone (414) 481-8828

4300 W Layton Ave
#100
Milwaukee, WI 53220
Phone (414) 260-0789

2801 W Kinnickinnic River Pkwy
Ste 140
Milwaukee, WI 53215
Phone (414) 385-8725

8375 S Howell Ave
Ste 204
Oak Creek, WI 53154
Phone (414) 928-2020

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1912352832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 140",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153693",
            "telephone_number": "414-385-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 140",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153693",
            "telephone_number": "414-385-8725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BJERREGAARD",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-28",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "NO75401-20",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN BOARD OF MEDICINE",
            "identifier": "NO75401-20",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CO1777",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@eyephysicianassociates.com",
            "affiliation": "N",
            "address_1": "2801 W Kinnickinnic River Pkwy Ste 140",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532153693",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.