BROTOLOC SESMV (NPI# 1164565909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164565909 |
| Entity Type | Organization |
| Organization Name | BROTOLOC SESMV |
| Other Organization Name | BROTOLOC |
| Practice Address |
5812 W Burnham St West Allis WI 53219-1524 |
| Practice Telephone | 4145433200 |
| Practice Fax Number | 4145433269 |
| Mailing Telephone | 4145433200 |
| Mailing Fax Number | 4145433269 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DOUG SVEDA (DIRECTOR) |
| Authorized Official Telephone | 4145433200 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | NONE | WI | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 41487500 | 05 |
| Other Name | Type Code |
|---|---|
| Brotoloc | Doing Business As Name - Organization |
| Street Address |
5812 W BURNHAM ST |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53219-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700928017 | Brotoloc Outpatient Clinic | Clinic/Center | 5812 W Burnham St, West Allis, WI 53219-1524 | 2007-02-13 |
| 1437472966 | Brotoloc South, Inc. | Non-emergency Medical Transport (VAN) | 5812 W Burnham St, West Allis, WI 53219-1524 | 2010-03-11 |
| 1982933503 | Brotoloc South, Inc. | Clinic/Center | 5812 W Burnham St, West Allis, WI 53219-1524 | 2009-12-10 |
| 1447460217 | Douglas E. Sveda | Social Worker | 5812 W Burnham St, West Allis, WI 53219-1524 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588262323 | Tammi T Wisniewski | Hearing Instrument Specialist | 4847 W. Forest Home Avenue, Greenfield, WI 53219 | 2020-10-14 |
| 1174052344 | Adam Blaha | Physical Therapy Assistant | 2622 South 66th Street, Milwaukee, WI 53219 | 2017-06-09 |
| 1700281920 | Mary Beth Menarek | Counselor | 6574 W. Beloit Road, West Allis, WI 53219 | 2014-10-30 |
| 1780959767 | James Stanley Ziolkowski | Electrodiagnostic Medicine | 9330 W. Lincln Ave, West Allis, WI 53219 | 2012-03-09 |
| 1568752707 | Carey M Kromarek | Social Worker | 5757 W. Oklahoma Ave, Suite 203, Milwaukee, WI 53219 | 2011-04-08 |
| 1275834988 | Debra L Felzer | Registered Nurse | 7123 W Stuth Place, West Allis, WI 53219 | 2010-11-11 |
| 1528290327 | Miguel Angel Bautista | Acupuncturist | 4318 W. Foresthowe Ave., Milwaukee, WI 53219 | 2009-08-13 |
| 1629211487 | Ruth Irene Young | Physical Therapy Assistant | 2027 S. 79th Street, West Allis, WI 53219 | 2009-04-09 |
| 1053591818 | Linda St. Louis | Nurse Practitioner | 6030 W. Oklahoma Avenue, Milwaukee, WI 53219 | 2007-11-09 |
| 1811185812 | John Stuart Lanham | Podiatrist | 5720 W Oklahoma Avenue, Milwaukee, WI 53219 | 2007-10-04 |
| Find all providers in zip 53219 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710464656 | Tenderness Transportation LLC | Non-emergency Medical Transport (VAN) | 9305 W National Ave, West Allis, WI 53227-1563 | 2018-07-24 |
| 1437472966 | Brotoloc South, Inc. | Non-emergency Medical Transport (VAN) | 5812 W Burnham St, West Allis, WI 53219-1524 | 2010-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454325 | Richwood Enterprises LLC Dba Richwood Transport | Non-emergency Medical Transport (VAN) | 2564 Branch St Ste B10, Middleton, WI 53562-2850 | 2020-10-13 |
| 1861099897 | Seng Lor | Non-emergency Medical Transport (VAN) | 2303 Moholt Dr, Eau Claire, WI 54703-2460 | 2020-10-02 |
| 1568077022 | Shatona Moore | Non-emergency Medical Transport (VAN) | 5220 N 107th St, Milwaukee, WI 53225-3124 | 2020-09-11 |
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1629681663 | Taylor Transport Care LLC | Non-emergency Medical Transport (VAN) | 4433 N 50th St, Milwaukee, WI 53218-5704 | 2020-08-28 |
| 1548878382 | American Phoenix Transportation LLC | Non-emergency Medical Transport (VAN) | 8544 9 Mile Creek Rd, Fall Creek, WI 54742-5306 | 2020-07-17 |
| 1497371041 | Mobility Transport LLC | Non-emergency Medical Transport (VAN) | 7114 W Mill Rd, Milwaukee, WI 53218-1229 | 2020-06-19 |
| 1144856964 | Donnell Marcellus Rushing | Non-emergency Medical Transport (VAN) | 4208 N 52nd St, Milwaukee, WI 53216-1338 | 2020-03-13 |
| 1184259996 | M&l Transportation, LLC | Non-emergency Medical Transport (VAN) | 8700 W Beloit Rd, Milwaukee, WI 53227-3714 | 2020-03-12 |
| 1962037424 | Glory Transportation Services LLC | Non-emergency Medical Transport (VAN) | 8701 W Greenwood Ter, Milwaukee, WI 53224-4019 | 2020-03-05 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53219 |
Please comment or provide details below to improve the information on BROTOLOC SESMV.
| 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.