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PROACTIVE MD WI SC NPI 1134753411


NPI Information

NPI: 1134753411
Provider Name: PROACTIVE MD WI SC

Other Name: PROACTIVE MD

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
BRAKEBUSH HEALTH CENTER
N4993 6TH DR.
WESTFIELD, WI
ZIP 53964
Phone: (800) 933-2121
Get Directions

PROACTIVE MD WI SC is a family medicine in Westfield, WI. The provider is 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. PROACTIVE MD WI SC NPI is 1134753411. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Proactive Md.

The provider's business location address is:

BRAKEBUSH HEALTH CENTER
N4993 6TH DR.
WESTFIELD, WI
ZIP 53964
Phone: (800) 933-2121

The provider's authorized official is Jan Hopkins .
The authorized official title is Assoc. Ops Mgr and has the following contact phone number (864) 501-0751.

The enumeration date for this NPI number is 2/26/2020 and was last updated on 4/1/2022.


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
1207Q00000XFamily MedicineYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.