NPI 1619917697 · live from the CMS NPI Registry
Bruce Brown, MD
Ophthalmology in Waukesha, WI. National Provider Identifier 1619917697, active.
NPI record
| NPI | 1619917697 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 1111 Delafield St Ste 10, Waukesha, WI 53188 |
| Practice phone | 262-547-7002 |
| Mailing address | 1111 Delafield St, #10, Waukesha, WI 53188 |
| Enumerated | June 7, 2006 |
| Last updated | September 22, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 24473 (WI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.