PROACTIVE MD - BRAKEBUSH (NPI# 1871127092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871127092 |
| Entity Type | Organization |
| Organization Name | PROACTIVE MD - BRAKEBUSH |
| Practice Address |
N4993 6th Dr Westfield WI 53964-8200 |
| Practice Telephone | 8126451892 |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2020-02-26 |
| Authorized Official Name | ASHLEY LOWE (FINANCE MANAGER) |
| Authorized Official Telephone | 8126451892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| Street Address |
N4993 6TH DR |
| City | WESTFIELD |
| State | WI |
| Zip Code | 53964-8200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067013 | Interra Health Inc. | Clinic/Center | N4993 6th Dr, Westfield, WI 53964-8200 | 2016-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134753411 | Proactive Md Sc,p.a. | Family Medicine | Brakebush Health Center, N4993 6th Dr., Westfield, WI 53964 | 2020-02-26 |
| 1184007650 | Elizabeth Gust | Physical Therapist | 211 N Pioneer Park Rd, Westfield, WI 53964 | 2015-07-02 |
| 1215075296 | Northland Community Services Inc | Clinic/Center | 161 Spring St, Westfield, WI 53964 | 2007-02-02 |
| 1437203023 | Annette Faith Gouker | Chiropractor | 128 East 2nd Street, Westfield, WI 53964 | 2007-01-22 |
| 1053465708 | Terry Ann Pace | Chiropractor | 128 East 2nd Street, Westfield, WI 53964-0095 | 2007-01-22 |
| 1245378660 | Pace Chiropractic Office Sc | Chiropractor | 128 East 2nd Street, Westfield, WI 53964-0095 | 2007-02-01 |
| 1295843951 | Robert E Crawford | Dentist | 120 E 2nd Street, Westfield, WI 53964-0220 | 2006-08-25 |
| 1902970205 | Bentley Pharmacies Inc | Pharmacy | 206 S Main St, Westfield, WI 53964-7506 | 2006-11-20 |
| 1376737783 | Westfield School District | Local Education Agency (LEA) | N7046 Cty Rd Ch, Westfield, WI 53964-8066 | 2007-08-29 |
| 1427285832 | Ivy Anderson | Speech-Language Pathologist | 328 N Main St, Westfield, WI 53964-9039 | 2009-06-12 |
| Find all providers in zip 53964 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073067013 | Interra Health Inc. | Clinic/Center | N4993 6th Dr, Westfield, WI 53964-8200 | 2016-08-08 |
| 1649633900 | Activate Healthcare - Immi Clinic | Clinic/Center | 18881 Immi Way, Westfield, IN 46074-3001 | 2016-04-03 |
| 1487743498 | Westfield Familyphysicians | Clinic/Center | 138 E Main St, Westfield, NY 14787-1121 | 2006-10-11 |
| 1245263557 | Westfield Family Physicians,pc | Clinic/Center | 138 E Main St, Westfield, NY 14787-1121 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122097 | Whole You Acupuncture and Health Consulting LLC | Clinic/Center | 3330 University Ave Ste 205, Madison, WI 53705-2167 | 2020-10-21 |
| 1588275036 | Abifka Healthcare Inc. | Clinic/Center | 8725 S Wood Creek Dr, Oak Creek, WI 53154-7502 | 2020-08-10 |
| 1306483508 | Achieve Wellness Clinic | Clinic/Center | 1417 Winchester Way, Suite 6, Altoona, WI 54720-5472 | 2019-12-06 |
| 1386295061 | Careatc | Clinic/Center | 1400 E Wisconsin St, Delavan, WI 53115-1470 | 2019-09-24 |
| 1295386977 | Careatc | Clinic/Center | 4600 W Loomis Rd Ste 200, Greenfield, WI 53220-4858 | 2019-09-24 |
| 1639728496 | Quad/med, LLC | Clinic/Center | 725 South Street, Mayville, WI 53050 | 2019-09-05 |
| 1316505464 | New Richmond Family Care, LLC | Clinic/Center | 1500 Madison Ave # 5c, New Richmond, WI 54017-6693 | 2019-06-04 |
| 1609433705 | Activate Healthcare | Clinic/Center | 660 Vandeberg St, Baldwin, WI 54002-3251 | 2019-05-23 |
| 1043703838 | Interra Health Inc. | Clinic/Center | 5 Innovation Ct Ste B, Appleton, WI 54914-1739 | 2018-06-07 |
| 1942792254 | Quad/med, LLC | Clinic/Center | 1900 W. Sumner Street, Hartford, WI 53027 | 2018-06-01 |
| Find all providers with the same taxonomy | ||||
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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.