Jeannette E Brasseur, P,T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

543-024 Issued in WI

Practice address

4158 N Stowell Ave
Milwaukee, WI 53211-1744

Phone

(414) 962-1703

NPI assigned

Oct 14, 2008

Last updated

Dec 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1223942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262044800000",
    "number": "1982856670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4158 N STOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111744",
            "telephone_number": "414-962-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4158 N STOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111744",
            "telephone_number": "414-962-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASSEUR",
        "first_name": "JEANNETTE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "P,T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-14",
        "last_updated": "2009-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WI",
            "license": "543-024",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "54324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Brannan, RPH
• Brooke Branscombe
• Mariagnes Branson, PT
• Puneet Brar
• Kathrine Ann Brass
• Nancy C Bratanow, M.D.
• Lyndsey Marie Bratberg, PA-C
• Erin Elizabeth Bratt, PA-C
• Julia Bratton
• Abbigail Rose Brauch, PA-C

• Specialist in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; 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.