IndividualActive
Brett Wagner
NPI 1578198461 · Perfusionist · Milwaukee, WI
Provider details
- NPI number
- 1578198461
- Entity type
- Individual
- Primary specialty
- PerfusionistTechnologists, Technicians & Other Technical Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 226-18 (WI)
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
8701 W Watertown Plank Rd Fl Hub5
Milwaukee, WI 53226-3548
Phone: (414) 955-6900
Fax: (414) 955-0079
Street-level locationGet directions
Mailing address
836 S 86th St
West Allis, WI 53214-2905
Registry dates
- Enumerated
- 2020-03-11
- Last updated
- 2020-03-11
- Certified
- 2020-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.