DR. ARLENE MAGON BRAKER (NPI# 1295722320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295722320 |
| Entity Type | Individual |
| Full Name | DR. ARLENE MAGON BRAKER |
| Credential | M.D. |
| Practice Address |
9252 N Green Bay Rd Brown Deer WI 53209-1104 |
| Practice Telephone | 4145275089 |
| Practice Fax Number | 4143656349 |
| Mailing Telephone | 4145275089 |
| Mailing Fax Number | 4143656349 |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2014-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
29240-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | MEDICARE PTAN | 045273840 | 01 |
| Street Address |
9252 N GREEN BAY RD |
| City | BROWN DEER |
| State | WI |
| Zip Code | 53209-1104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669470134 | Soliven C Bautista | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2005-07-08 |
| 1023644531 | Matthew Michael | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2020-03-16 |
| 1427517408 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-18 |
| 1679031629 | Allie Knaus | Physical Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2019-03-08 |
| 1700356557 | Emily M Samuel | Physician Assistant | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-12-04 |
| 1225514656 | Lori Komisar | Registered Nurse | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2018-07-18 |
| 1891240610 | Nate Sullivan | Nurse Practitioner | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2016-08-22 |
| 1366849952 | Cesar Sison | Occupational Therapist | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-11-25 |
| 1518360882 | Amy Prout | Dietitian, Registered | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2014-10-01 |
| 1255512141 | Marina L. Kropp | Physical Medicine & Rehabilitation | 9252 N Green Bay Rd, Brown Deer, WI 53209-1104 | 2007-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780238253 | Niajcia Brookshire | Counselor | 3900 W Brown Deer Rd Suite 200, Brown Deer, WI 53209 | 2019-08-01 |
| 1740751015 | Mary Fuller | Home Health Aide | 3043 N 29th St., Milwaukee, WI 53209 | 2018-12-16 |
| 1154869410 | Jacksonscott2 | Skilled Nursing Facility | 4573 N. 22nd Street, Milwaukee, WI 53209 | 2017-02-07 |
| 1669910469 | Dimera House | In Home Supportive Care | 4002 W Fairount Ave, Milwaukee, WI 53209 | 2017-02-01 |
| 1891248340 | Amy L May | Nurse Practitioner | 3303 W Good Hope Rd, Milwaukee, WI 53209 | 2016-08-02 |
| 1871980193 | Alan R Rosenthal | Pharmacist | 6930 N Beech Tree Dr, Milwaukee, WI 53209 | 2015-04-24 |
| 1104212380 | Reema Shah | Student in an Organized Health Care Education/Training Program | 2400 W. Villard Ave, Milwaukee, WI 53209 | 2015-04-14 |
| 1336534403 | Robert Michael Kitsis | Family Medicine | 9252 N Green Bay Rd Fl 2, Brown Deer, WI 53209 | 2015-04-05 |
| 1962891994 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Public Health or Welfare | 8330 North Teutonia Ave Suite 103, Brown Deer, WI 53209 | 2015-01-14 |
| 1548659634 | Kls Community Outreach Teen Center Consulting and Management L.L.C. | Early Intervention Provider Agency | 8330 North Teutonia Avenue Suite 103, Brown Deer, WI 53209 | 2015-01-13 |
| Find all providers in zip 53209 | ||||
| Taxonomy Code | 2081N0008X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Neuromuscular Medicine |
| A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326007949 | Amit R. Jhaveri | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy, Suite 106, Milwaukee, WI 53215-3677 | 2006-03-22 |
| City | BROWN DEER |
| Zip Code | 53209 |
Please comment or provide details below to improve the information on DR. ARLENE MAGON BRAKER.
| 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.