BRIDGETTE OLIVIA BRODZELLER (NPI# 1205237922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205237922 |
| Entity Type | Individual |
| Full Name | BRIDGETTE OLIVIA BRODZELLER |
| Practice Address |
514 Riverview Ave Waukesha WI 53188-3631 |
| Practice Telephone | 2625487666 |
| Mailing Telephone | 2625487666 |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | WI | Student, Health Care |
| Street Address |
514 RIVERVIEW AVE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710940572 | Mark D Biehl | Psychiatry & Neurology | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2006-04-11 |
| 1326652207 | Jessica Margaret Pagel | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1982218855 | Cailey Moran | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1518571488 | Leslie Megan Chisholm | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1245844117 | Courtney Labuy | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1558975458 | Kai Eric Goldenstein | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-09-08 |
| 1861018863 | Mardy Juhl | Counselor | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-25 |
| 1437773249 | Alissa Hetzel | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-08 |
| 1417571217 | Emily Ann Partlow | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-08 |
| 1548884752 | Madeline Marie Attewell | Case Manager/Care Coordinator | 514 Riverview Ave, Waukesha, WI 53188-3631 | 2020-06-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023626769 | Jannalynne Joy Beilke-skoug | Student in an Organized Health Care Education/Training Program | 2414 Springdale Rd Apt 210, Waukesha, WI 53186-8704 | 2020-07-20 |
| 1578180022 | Braden Michael Christensen | Student in an Organized Health Care Education/Training Program | 1405 Rockridge Rd Apt 343, Waukesha, WI 53188-2893 | 2020-07-01 |
| 1386260727 | Erika Paige Brown | Student in an Organized Health Care Education/Training Program | 1800 Shepherd Ct Apt 336, Waukesha, WI 53186-1424 | 2020-06-22 |
| 1053936088 | Amanda Lynn Oeder | Student in an Organized Health Care Education/Training Program | 1902 E Broadway Apt 420, Waukesha, WI 53186-8183 | 2020-06-16 |
| 1033734397 | Esther Rose Den Herder | Student in an Organized Health Care Education/Training Program | 2221 Hollidale Dr Apt 206b, Waukesha, WI 53186-2946 | 2020-06-12 |
| 1235754631 | Alex Pekarske | Student in an Organized Health Care Education/Training Program | 1724 E Racine Ave Apt 102, Waukesha, WI 53186-0725 | 2020-06-11 |
| 1306461769 | Raelee Penzi | Student in an Organized Health Care Education/Training Program | 2416 Springdale Rd Apt 205, Waukesha, WI 53186-2738 | 2020-06-11 |
| 1700401189 | Emily Poenitsch | Student in an Organized Health Care Education/Training Program | 1040 River Place Blvd Unit 5, Waukesha, WI 53189-7887 | 2020-06-11 |
| 1023639135 | Michael Roesch | Student in an Organized Health Care Education/Training Program | S51w23773 Turners Pike W, Waukesha, WI 53189-7948 | 2020-04-29 |
| 1649803198 | Brielle Bartes | Student in an Organized Health Care Education/Training Program | S73w26285 Sierra Madre Ct, Waukesha, WI 53189-9643 | 2020-02-12 |
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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.