GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.
NPI 1891373593
Durable Medical Equipment & Medical Supplies in Brown Deer, WI

Q: What is Great Lakes Orthotics & Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Active since April 01, 2021

3900 W BROWN DEER RD STE 140, BROWN DEER, WI 53209(414) 897-8380(414) 210-3489 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Lakes Orthotics & Medical Supply, Inc. NPPES

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

GREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC. (NPI 1891373593) is a healthcare organization registered as a durable medical equipment & medical supplies in Brown Deer, Wisconsin and active in the NPI registry since April 2021. The organization lists Michael Seamus Buggy, President, as its authorized official.

NPPES Registry Identity

NPI1891373593

Entity TypeOrganization

Primary Taxonomy332B00000X

Legal Business NameGREAT LAKES ORTHOTICS & MEDICAL SUPPLY, INC.

Location Address3900 W BROWN DEER RD STE 140Brown Deer, WI 53209-1220

Mailing Address6520 W Layton Ave Ste 103Greenfield, WI 53220-4500 · (414) 897-8380 · Fax (414) 210-3489

Phone(414) 897-8380

Fax(414) 210-3489

Organization SubpartYes

Authorized OfficialMichael Seamus BuggyPresident · (414) 828-9256

Enumeration DateApril 1, 2021

NPPES CertifiedApril 1, 2021

✔ NPI 1891373593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers

Taxonomy Code332B00000X

Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

3900 W BROWN DEER RD STE 140, Brown Deer, WI 53209

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

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 Great Lakes Orthotics & Medical Supply, Inc.'s NPI number?

The NPI number for Great Lakes Orthotics & Medical Supply, Inc. is 1891373593. It was assigned to this organization in the NPPES registry on April 1, 2021.

Where is Great Lakes Orthotics & Medical Supply, Inc. located?

Great Lakes Orthotics & Medical Supply, Inc. is located at 3900 W Brown Deer Rd Ste 140, Brown Deer, WI 53209. The listed phone number is (414) 897-8380.

What is Great Lakes Orthotics & Medical Supply, Inc.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

What insurance does Great Lakes Orthotics & Medical Supply, Inc. accept?

Health plans from CareSource (Common Ground Healthcare) list Great Lakes Orthotics & Medical Supply, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Great Lakes Orthotics & Medical Supply, Inc. was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.