Individual provider Active NPI

James Brophy

  • General Practice Dentistry
  • Brookfield, WI
National Provider Identifier
1932265675
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4406 Issued in WI
Practice address
1025 S Moorland Rd
Suite 201
Brookfield, WI 53005-6956
Phone
(262) 782-5454
Fax
(262) 782-1630
NPI assigned
Dec 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4406 WI Primary

Addresses

Primary practice location

1025 S Moorland Rd
Suite 201
Brookfield, WI 53005-6956

Mailing address

1025 S Moorland Rd
Suite 201
Brookfield, WI 53005-6956
Phone (262) 782-5454

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160105001539 WI Order and Referring Only - Other (Non-Physician) 7012219207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4406WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932265675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S MOORLAND RD",
            "address_2": "SUITE 201",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056956",
            "telephone_number": "262-782-5454",
            "fax_number": "262-782-1630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 S MOORLAND RD",
            "address_2": "SUITE 201",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056956",
            "telephone_number": "262-782-5454",
            "fax_number": "262-782-1630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROPHY",
        "first_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "4406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.