WISCONSIN AVENUE MEDICAL CLINIC,S.C.
NPI 1578510798
Family Medicine in Milwaukee, WI

Active since May 31, 2006
3505 W WISCONSIN AVE, MILWAUKEE, WI 53208(414) 344-0400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Wisconsin Avenue Medical Clinic,s.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WISCONSIN AVENUE MEDICAL CLINIC,S.C. (NPI 1578510798) is a healthcare organization registered as a family medicine in Milwaukee, Wisconsin and active in the NPI registry since May 2006. The organization lists Srinivas R Bramhadevi, President/owner, as its authorized official.

NPPES Registry Identity

NPI1578510798
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWISCONSIN AVENUE MEDICAL CLINIC,S.C.
Location Address3505 W WISCONSIN AVEMilwaukee, WI 53208-3847
Mailing Address1020 E Amber LnOak Creek, WI 53154-3349 · (414) 764-2024
Organization SubpartNo
Authorized OfficialSrinivas R BramhadeviPresident/owner · (262) 352-2187
Enumeration DateMay 31, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1578510798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 45129
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3505 W WISCONSIN AVE, Milwaukee, WI 53208

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wisconsin Avenue Medical Clinic,s.C.'s NPI number?

The NPI number for Wisconsin Avenue Medical Clinic,s.C. is 1578510798. It was assigned to this organization in the NPPES registry on May 31, 2006.

Where is Wisconsin Avenue Medical Clinic,s.C. located?

Wisconsin Avenue Medical Clinic,s.C. is located at 3505 W Wisconsin Ave, Milwaukee, WI 53208. The listed phone number is (414) 344-0400.

What is Wisconsin Avenue Medical Clinic,s.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Wisconsin Avenue Medical Clinic,s.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.