MS. AMANDA M. BRANDOW D.O. NPI 1316961113

NPI Information

NPI: 1316961113
Provider Name: MS. AMANDA M. BRANDOW, D.O.
Classification: Pediatrics - 2080P0207X
Entity Type: Individual

Specialization: Pediatric Hematology-Oncology

PECOS Registration: Yes

Address:
9000 W WISCONSIN AVE
PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 277-8900
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MS. Amanda M. Brandow, D.O. is a pediatric hematology-oncology pediatrics in Milwaukee, WI. The provider is a pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. MS. Amanda M. Brandow, D.O. NPI is 1316961113. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9000 W WISCONSIN AVE
PEDIATRIC HEMATOLOGY/ONCOLOGY
MILWAUKEE, WI
ZIP 53226-874
Phone: (414) 277-8900
Fax: (414) 456-6543

The NPI 1316961113 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/2/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	46333	WISCONSIN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I21020	MEDICARE UPIN
2	1316961113	MEDICAID	WISCONSIN
3	43513300	MEDICAID	WISCONSIN
4	092Q 73-601	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN	MILWAUKEE COUNTY
5	092Q 73-601	MEDICARE PIN	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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