Organization Active NPI

Milwaukee Neurological Institute, SC

  • Neurological Surgery Physician
  • Milwaukee, WI
National Provider Identifier
1992743397
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
MILWAUKEE NEUROLOGICAL INSTITUTE, SC
Practice address
960 N 12TH St
Suite 1800
Milwaukee, WI 53233-1306
Phone
(414) 278-9000
Fax
(414) 278-9005
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Mr. John F. Behm
Title
Executive Director
Phone
(414) 278-9000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X Primary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AS0400X

Addresses

Primary practice location

960 N 12TH St
Suite 1800
Milwaukee, WI 53233-1306

Mailing address

960 N 12TH St
Suite 1800
Milwaukee, WI 53233-1306
Phone (414) 278-9000

Other identifiers 1

IdentifierTypeStateIssuer
21298100MedicaidWI

National Provider Directory

National Provider Directory

Locations

7400 W Rawson Ave
Ste 115
Franklin, WI 53132
Phone (414) 427-1381

475 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 961-6700

2350 W Villard Ave
Ste 105
Milwaukee, WI 53209
Phone (414) 438-6500

1218 W Kilbourn Ave
#300
Milwaukee, WI 53233
Phone (414) 438-6500

2801 W Kinnickinnic River Pkwy
Ste 235
Milwaukee, WI 53215
Phone (414) 385-1875

2801 W Kinnickinnic River Pkwy
Ste 465
Milwaukee, WI 53215
Phone (414) 385-1875

201 N Mayfair Rd
#535
Wauwatosa, WI 53226
Phone (414) 257-1388

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1992743397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 N 12TH ST",
            "address_2": "SUITE 1800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331306",
            "telephone_number": "414-278-9000",
            "fax_number": "414-278-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 N 12TH ST",
            "address_2": "SUITE 1800",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532331306",
            "telephone_number": "414-278-9000",
            "fax_number": "414-278-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILWAUKEE NEUROLOGICAL INSTITUTE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "BEHM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "414-278-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21298100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.