DR. DIANE W BRAZA (NPI# 1467404970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467404970 |
| Entity Type | Individual |
| Full Name | DR. DIANE W BRAZA |
| Credential | MD |
| Practice Address |
1155 N Mayfair Rd Spine Care Clinic At Plank Road Milwaukee WI 53226-3421 |
| Practice Telephone | 4149557199 |
| Practice Fax Number | 4149550110 |
| Mailing Telephone | 4149557199 |
| Mailing Fax Number | 4149550110 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2013-02-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 29706 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1467404970 | 05 | |
| HUMANA | 002000176N | 01 |
| Street Address |
1155 N MAYFAIR RD SPINE CARE CLINIC AT PLANK ROAD |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53226-3421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801873245 | Christina L Wichman | Psychiatry & Neurology | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2005-12-28 |
| 1184128381 | Shannon M Friedbacher | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2018-03-21 |
| 1003326745 | Kevin Bozymski | Pharmacist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-10-09 |
| 1770008492 | Judith Ann Evenson | Nurse Practitioner | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-08-03 |
| 1760914378 | Miles Bichanich | Plastic Surgery | 1155 N Mayfair Rd, Ste. T2600- South Entry, Milwaukee, WI 53226-3462 | 2017-04-02 |
| 1669913034 | Jennifer Orth | Occupational Therapist | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2017-03-17 |
| 1093255549 | Legenda Gooding | Nurse Practitioner | 1155 N Mayfair Rd, Suite 1, Milwaukee, WI 53226-3462 | 2017-03-02 |
| 1932657699 | Tera Carman | Social Worker | 1155 N Mayfair Rd, Department of Psychiatry, Milwaukee, WI 53226-3462 | 2016-09-12 |
| 1689120982 | Froedtert & The Medical College of Wisconsin Community Physicians, Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-08-28 |
| 1275997645 | Amanda Liewen | Psychiatry & Neurology | 1155 N Mayfair Rd, Milwaukee, WI 53226-3462 | 2016-04-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164740122 | Sridhar Vallabhaneni | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy Ste 310, Milwaukee, WI 53215-5643 | 2010-05-14 |
| 1235393844 | Callenda A Hacker | Physical Medicine & Rehabilitation | 2323 N Lake Dr Rm W1736, Milwaukee, WI 53211-4508 | 2008-07-12 |
| 1750416343 | Renuka Lingam Kumar | Physical Medicine & Rehabilitation | 2901 W Kinnickinnic River Pkwy Ste 106, Milwaukee, WI 53215-3660 | 2007-02-22 |
| 1124068259 | Kandavar Gopal | Physical Medicine & Rehabilitation | 3200 S 20th St, Milwaukee, WI 53215-4442 | 2006-06-07 |
| 1649231028 | Ellis B Zussman | Physical Medicine & Rehabilitation | 7220 W Capitol Dr, Milwaukee, WI 53216-2054 | 2006-03-28 |
| 1033170428 | Benjamin S Gozon IIi | Physical Medicine & Rehabilitation | 8518 W Capitol Dr, Milwaukee, WI 53222-1827 | 2006-03-28 |
| 1255328308 | Robert Marc Stern | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2005-10-04 |
| 1194712455 | Tracy A Park | Physical Medicine & Rehabilitation | 4111 W Mitchell St, Ste 300, Milwaukee, WI 53215-1748 | 2005-10-03 |
| 1639788748 | Amanda Ruekert | Physical Medicine & Rehabilitation | 5000 W Chambers St, Milwaukee, WI 53210-1650 | 2020-07-24 |
| 1679111793 | Shane Slaasted | Physical Medicine & Rehabilitation | 10101 W Wisconsin Ave, Milwaukee, WI 53226-4861 | 2019-12-19 |
| Find all providers in MILWAUKEE | ||||
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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.