BRIAN JOSEPH EGGENER (NPI# 1386264521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386264521 |
| Entity Type | Individual |
| Full Name | BRIAN JOSEPH EGGENER |
| Credential | RTR |
| Practice Address |
744 S Webster Ave Green Bay WI 54301-3505 |
| Practice Telephone | 9204333500 |
| Enumeration Date | 2020-04-17 |
| Last Update Date | 2020-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
478634 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AMERICAN REGISTRY OF RADIOLOGIC TECHNOLOGISTS | 478634 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598860363 | Brian J Eggener | Psychiatry & Neurology | 1100 Lake View Dr, Wausau, WI 54403-6785 | 2006-09-14 |
| Street Address |
744 S WEBSTER AVE |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54301-3505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398283 | Sampoornima Setty | Internal Medicine | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2005-06-30 |
| 1447858857 | Caycie N Bray | Physical Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-16 |
| 1326645029 | Nikki Lee Leow | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-10-06 |
| 1033726914 | Patricia M Slempkes | Occupational Therapist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-09-25 |
| 1255941746 | Cassandra Toellner | Anesthesiologist Assistant | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-08-09 |
| 1376151951 | Dayna Elizabeth Schneider | Speech-Language Pathologist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-07-20 |
| 1164045092 | Robyn W Lauritsen | Registered Nurse | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-27 |
| 1831711860 | Ashley Elizabeth Mijal | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-13 |
| 1336760883 | Veronica B Hoppe | Pharmacist | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-05-06 |
| 1336776350 | Laura Mae Anderson | Nurse Practitioner | 744 S Webster Ave, Green Bay, WI 54301-3505 | 2020-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102465 | Parc Village Dental, LLC | Dentist | 2805 Libal Street, Suite A, Green Bay, WI 54301 | 2019-03-07 |
| 1598229478 | Shaina Marie Conner | Registered Nurse | 835 S Vanburen St, Green Bay, WI 54301 | 2019-01-25 |
| 1093298960 | Brown County | Case Management | 111 N. Jefferson Street, Green Bay, WI 54301 | 2018-09-07 |
| 1639609928 | Frontline Healthcare LLC | Specialist/Technologist, Other | 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 | 2017-06-19 |
| 1992242606 | Charmaine Rimple | Counselor | 526 South Monroe Avenue, Green Bay, WI 54301 | 2017-01-20 |
| 1962944819 | Rebecca Lucille Reinbold | Registered Nurse | 917 Catherine Street, Green Bay, WI 54301 | 2016-11-09 |
| 1730635061 | Melissa Kristof | Specialist/Technologist, Other | 1821 Sounth Webster Ave., Green Bay, WI 54301 | 2016-08-28 |
| 1255709747 | Vivian Sweetheart Bishop-cook | Counselor | 2920 South Webster Ave, Green Bay, WI 54301 | 2015-09-14 |
| 1881079960 | Chelsi S Weber | Registered Nurse | 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 | 2015-07-30 |
| 1962816371 | Joelle M Hesse | Counselor | 630 Cherry St., Green Bay, WI 54301 | 2014-06-13 |
| Find all providers in zip 54301 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769099 | Sharatchandra Subhaschandra Bidari | Radiology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2011-02-18 |
| 1952339814 | Robert W Haller | Radiology | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295154144 | Anna Moreland | Radiology | 424 E Pacific St, Appleton, WI 54911-5069 | 2014-04-08 |
| 1184845133 | Meghan Galvin Lubner | Radiology | E3 342 Clinical Sciences Ctr, 600 Highland Ave, Madison, WI 53792-0001 | 2007-05-01 |
| 1073619623 | Philip Richard Albert | Radiology | 2705 Rib Mountain Way, Wausau, WI 54401-9291 | 2006-09-14 |
| 1003868811 | Mark Southard | Radiology | 900 W Clairmont Ave, Eau Claire, WI 54701 | 2006-05-17 |
| 1386601383 | Medical X-ray Consultants,ltd | Radiology | 900 West Clairemont Avenue, Eau Claire, WI 54701 | 2006-04-26 |
| 1386604346 | Albert Jerviss Alter Jr. | Radiology | 6701 Seybold Rd, Ste 204, Madison, WI 53719-1362 | 2006-03-24 |
| 1235634510 | Kristin Knott | Radiology | 5471 W Waterford Ln, Appleton, WI 54913-8510 | 2018-03-28 |
| 1033558143 | Sachin Shivaji Kumbhar | Radiology | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2013-06-21 |
| 1447697396 | Michael Tyler Babbitt | Radiology | 9200 W Wisconsin Ave, Milwaukee, WI 53226 | 2013-06-02 |
| 1245523216 | Elizabeth Vera Craig | Radiology | 2000 E Layton Ave, St Francis, WI 53235-6053 | 2011-05-24 |
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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.