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NPI 1235437146 · Medical Specialty Clinic/Center · Brookfield, WI
Provider details
- NPI number
- 1235437146
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Carmen Mendoza, Billing Manager(414) 727-0910
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20350 Water Tower Blvd Ste 201
Brookfield, WI 53045-3558
Phone: (414) 727-0910
Fax: (414) 727-0920
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26071
Wauwatosa, WI 53226-0071
Registry dates
- Enumerated
- 2011-03-02
- Last updated
- 2022-05-02
- Certified
- 2022-05-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.