FERDINAND M BRUTVAN


Address: 1925 E Iron St, Milwaukee, WI 53207-2315
Phone: 4144816331

FERDINAND M BRUTVAN (NPI# 1407957491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407957491
Entity Type Individual
Full Name FERDINAND M BRUTVAN
Credential MD
Practice Address 1925 E Iron St
Milwaukee
WI 53207-2315
Practice Telephone 4144816331
Mailing Telephone 4144816331
Enumeration Date 2006-09-25
Last Update Date 2010-05-05
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
23399 WI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 30810200 05

Office Location

Street Address 1925 E IRON ST
City MILWAUKEE
State WI
Zip Code 53207-2315

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1316008303 Thomas Fisher Clinical Neuropsychologist 2419 S. Lenox Street, Milwaukee, WI 53207 2006-12-13
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669814737 Matthew William Shore Radiology 8915 W Connell Ave Dept Of, Milwaukee, WI 53226-3067 2013-07-18
1245538636 Moira Ferrier Schieke Radiology 2542 N Terrace Ave, Milwaukee, WI 53211-3820 2011-03-09
1811127558 Michael Orrin Griffin Jr. Radiology 9200 W. Wisconsin Ave., Department of Radiology, Milwaukee, WI 53226 2009-07-15
1598949026 Deidre Meredith Rippl Radiology 2900 Oklahoma Ave, Milwaukee, WI 53215 2007-12-19
1053510115 Petre Iosif Wecsler Radiology 7019 N Barnett Ln, Milwaukee, WI 53217-3606 2007-07-17
1285858019 William Thomas Luckey Radiology 1545 W Spruce Ct, Milwaukee, WI 53217-1128 2007-04-12
1295752251 Sean R Amoli Radiology 6150 W Layton Ave, Milwaukee, WI 53220-4608 2006-07-16
1760416994 Enhanced Medical Imaging Milwaukee LLC Radiology 7523 W Oklahoma Ave, Milwaukee, WI 53219-2861 2006-07-11
1396784948 John Lammers Radiology 10400 W North Ave, Suite 300, Milwaukee, WI 53226-2425 2006-06-06
1184673964 Pediatric Radiologic Services Sc Radiology 9000 West Wisconsin Avenue, Milwaukee, WI 53201 2006-05-09
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City MILWAUKEE
Zip Code 53207

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Dataset Information

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.

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