DR. BRIAN DAVID HODGSON (NPI# 1982693099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982693099 |
| Entity Type | Individual |
| Full Name | DR. BRIAN DAVID HODGSON |
| Credential | DDS |
| Practice Address |
1801 W Wisconsin Ave Milwaukee WI 53233-2186 |
| Practice Telephone | 4142881566 |
| Practice Fax Number | 4142880765 |
| Mailing Telephone | 4142881566 |
| Mailing Fax Number | 4142880765 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2008-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
019-021052 | IL | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
4214-015 | WI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33733500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770624579 | Brian Hodgson | Counselor | 671 Hoes Ln, Piscataway, NJ 08854-5627 | 2007-02-12 |
| Street Address |
1801 W WISCONSIN AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53233-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114524493 | Jamie L Perugini | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-10-08 |
| 1063036143 | Manasa Rao | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-06-03 |
| 1265054332 | Mari Liestman | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-12 |
| 1790307965 | Vy Nguyen | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-11 |
| 1073135349 | Sara Jean Link | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-05-10 |
| 1588285696 | Hannah Lea Bonikowske | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-29 |
| 1932728425 | James Dentino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-14 |
| 1396374070 | Alexander Vaun Padalino | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-05 |
| 1487283404 | Charles Allen Hauge | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-04-02 |
| 1821626227 | Michelle R Singapori | Student in an Organized Health Care Education/Training Program | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104454750 | Henok Desta Hardilo | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center 945 N 12th Street, Milwaukee, WI 53233 | 2020-03-30 |
| 1821633314 | Ann E Millard | Occupational Therapist | 560 N. 16th Street, Room 214a, Milwaukee, WI 53233 | 2019-11-08 |
| 1306480918 | Teng Kai Ong | Dentist | 1801 West Wisconsin Ave., Milwaukee, WI 53233 | 2019-11-06 |
| 1356800478 | Nebiyu Abera Tilahun | Student in an Organized Health Care Education/Training Program | Aurora Sinai Medical Center, 945 N. 12th Street, Milwaukee, WI 53233 | 2019-03-18 |
| 1548748387 | Emily Claire Goetz | Physical Therapist | 945 N. 12th St. Suite 1100, Milwaukee, WI 53233 | 2018-08-03 |
| 1801373378 | Froedtert & The Medical College of Wisconsin Community Physicians | Non-Pharmacy Dispensing Site | 1721 W Canal St, Milwaukee, WI 53233 | 2018-07-26 |
| 1184170706 | Lauren Troll | Physical Therapist | 925 N 12th Street, Milwaukee, WI 53233 | 2016-09-01 |
| 1942694401 | Iryna Nemesh | Internal Medicine | 1020 N 12th St Fl 2, Milwaukee, WI 53233 | 2015-03-23 |
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1780007831 | John Ladisa | Technician, Other | 1637 W. Wisconsin Ave, Room 311, Milwaukee, WI 53233 | 2014-01-27 |
| Find all providers in zip 53233 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649676032 | Matina Angelopoulou | Dentist | 1801 West Winsconsin Ave, Milwaukee, WI 53233 | 2014-11-12 |
| 1558995902 | Wesley Chiasson | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2020-02-25 |
| 1598307738 | Hamdi Cem Gungor | Dentist | 1801 W Wisconsin Ave, Milwaukee, WI 53233-2186 | 2019-10-09 |
| 1407313521 | Jonathan Hanna | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2019-02-25 |
| 1588103097 | Jason Holt | Dentist | 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 | 2017-02-16 |
| 1104210277 | Alexandra Claire Korte | Dentist | 5433 W Fond Du Lac Ave, Milwaukee, WI 53216-1382 | 2015-03-26 |
| 1245629518 | Colleen Greene | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2015-01-09 |
| 1538454400 | Carli Digioia | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 | 2011-06-18 |
| 1700014354 | Jamie Lynn Bass | Dentist | 9000 W Wisconsin Ave, Dental Center, Milwaukee, WI 53226-4874 | 2009-06-22 |
| 1952507188 | Dana L Radtke | Dentist | 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 | 2007-06-25 |
| 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.