MR. BRIAN G CARLSON (NPI# 1093954687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093954687 |
| Entity Type | Individual |
| Full Name | MR. BRIAN G CARLSON |
| Credential | MSN |
| Practice Address |
9200 W Wisconsin Avenue Department of Radiology Milwaukee WI 53226-3522 |
| Practice Telephone | (414) 805-3750 |
| Practice Fax Number | 4142599290 |
| Mailing Telephone | (414) 805-3750 |
| Mailing Fax Number | 4142599290 |
| Enumeration Date | 2009-02-05 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
3641-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1093954687 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194010702 | Brian Jon Carlson | Marriage & Family Therapist | 18888 Hwy 18 Ste 201, Apple Valley, CA 92307-9230 | 2011-06-10 |
| 1407892516 | Brian R Carlson | Pathology | 1411 W Baddour Parkway, Lebanon, TN 37087-2513 | 2006-06-20 |
| 1679189799 | Brian Carlson | Perfusionist | 45211 Helm St, Plymouth, MI 48170-6023 | 2020-09-23 |
| 1255986097 | Brian Richard Carlson | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2019-08-08 |
| 1336633734 | Brian D Carlson | Psychologist | 3301 Stadium Dr, Phenix City, AL 36867-3115 | 2018-06-19 |
| 1891158143 | Brian Carlson | Dentist | 1060 Mckinley Mall, Blasdell, NY 14219 | 2016-04-04 |
| 1487921078 | Brian Patrick Carlson | Pharmacist | 701 Hewitt Blvd, Red Wing, MN 55066-2848 | 2011-11-26 |
| 1740420439 | Brian David Carlson | Family Medicine | 2415 University Pkwy, Suite 111, Sarasota, FL 34243-2809 | 2009-02-20 |
| 1922272855 | Brian Carlson | Pharmacist | 147 2nd St Nw, Ortonville, MN 56278-1408 | 2008-04-22 |
| 1720148794 | Brian Bert Carlson | Social Worker | 5 Commerce Dr, Skowhegan, ME 04976-4823 | 2006-12-11 |
| Street Address |
9200 W WISCONSIN AVENUE DEPARTMENT OF RADIOLOGY |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588655781 | Marc A Demoya | Surgery | 9200 W Wisconsin Avenue, Trauma Surgery, Milwaukee, WI 53226-3522 | 2005-11-04 |
| 1710531397 | Jessica Rose Gaddy | Nurse Practitioner | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2019-07-31 |
| 1285163931 | Rachel Nordstrom | Emergency Medicine | 9200 W Wisconsin Avenue, 1p, Milwaukee, WI 53226 | 2017-06-07 |
| 1861856734 | Yiwen Cui | Obstetrics & Gynecology | 9200 W Wisconsin Avenue, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2016-04-07 |
| 1033589635 | Supatra A Agarwal | Anesthesiologist Assistant | 9200 W Wisconsin Avenue, Department of Anesthesiology, Milwaukee, WI 53226-3522 | 2015-09-25 |
| 1386012060 | Megan Neperud | Physician Assistant | 9200 W Wisconsin Avenue, Milwaukee, WI 53226-3522 | 2015-09-11 |
| 1659758050 | Ariel Kleman | Internal Medicine | 9200 W Wisconsin Avenue, Milwaukee, WI 53207-2141 | 2015-05-05 |
| 1912317983 | Adam Levin | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-30 |
| 1801216478 | Chad Wenzel | Internal Medicine | 9200 W Wisconsin Avenue, Dept of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-22 |
| 1376961870 | Brian William Quinn | Internal Medicine | 9200 W Wisconsin Avenue, Department of Internal Medicine, Milwaukee, WI 53226-3522 | 2014-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982258828 | Amanda Nesta | Nurse Practitioner | 1812 E Howard Ave, Milwaukee, WI 53207-4000 | 2019-07-29 |
| 1720591035 | Kelyn Marie Levy | Nurse Practitioner | 9200 W Wisconsin Ave Ste 5200, Milwaukee, WI 53226-3522 | 2017-11-08 |
| 1801124904 | Jennifer Ottelien | Nurse Practitioner | 2901 W Kinnickinnic River Pkwy Ste 300, Milwaukee, WI 53215-3660 | 2009-12-01 |
| 1295843266 | Renee K Remington | Nurse Practitioner | 2801 W Kinnickinnic River Pkwy Ste 460, Milwaukee, WI 53215-3695 | 2006-08-29 |
| 1972101467 | Sarah Emily Ziem | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-10-15 |
| 1700490521 | Chelsea Marie Nettesheim | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-08-31 |
| 1508476870 | Kristin Rebecca Kuester | Nurse Practitioner | 2301 N Lake Dr, Milwaukee, WI 53211-4508 | 2020-08-03 |
| 1730702341 | Kinzie Christelle Frascello | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-05-19 |
| 1679194278 | Chrystal Craft | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2020-05-05 |
| 1114565942 | Meagan Ann Sluka | Nurse Practitioner | 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 | 2019-12-11 |
| Find all providers in MILWAUKEE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.