Active NPI
Robert Bronson Levin, PH.D.
- Clinical Psychologist
- Brookfield, WI
National Provider Identifier
1922180736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1695
- Practice address
- 16535 W Bluemound Rd
# 200
Brookfield, WI 53005-5936 - Phone
- (262) 542-3255
- Fax
- (262) 821-6180
- NPI assigned
- Oct 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 2205-057 | WI | |
| Clinical Psychologist | 103TC0700X | 2205 | WI | |
| Clinical Psychologist | 103TC0700X | 1188 | DC | |
| Clinical Psychologist | 103TC0700X | 0810000987 | VA | |
| Clinical Psychologist | 103TC0700X | 1695 | MD | Primary |
| Forensic Psychologist | 103TF0200X | 2205-057 | WI | |
| Forensic Psychologist | 103TF0200X | 1188 | DC |
Addresses
Primary practice location
16535 W Bluemound Rd
# 200
Brookfield, WI 53005-5936
Mailing address
1150 S Bobolink Dr
Brookfield, WI 53005-7205
Phone (262) 786-1139
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810000987 | Other | VA | LICENSE |
| 1695 | Other | MD | LICENSE |
| 2205-057 | Other | WI | LICENSE |
| 1188 | Other | DC | LICENSE |
Other names 1
- Dr. Bronson Levin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1188 | DC | MD | Clinical Psychologist |
| 1695 | MD | MD | Clinical Psychologist |
| 0810000987 | VA | MD | Clinical Psychologist |
| 2205-057 | WI | MD | Forensic Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1922180736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 S BOBOLINK DR",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530057205",
"telephone_number": "262-786-1139",
"fax_number": "262-785-1139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16535 W BLUEMOUND RD",
"address_2": "# 200",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530055936",
"telephone_number": "262-542-3255",
"fax_number": "262-821-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "ROBERT",
"middle_name": "BRONSON",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "WI",
"license": "2205-057",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WI",
"license": "2205",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "1188",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000987",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "1695",
"primary": true
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "WI",
"license": "2205-057",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "DC",
"license": "1188",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0810000987",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1695",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2205-057",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1188",
"state": "DC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRONSON",
"last_name": "LEVIN",
"prefix": "DR.",
"credential": "PH.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.