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NPI Code Detail

MEDICARE: BRIAN A. MCCARTY M.D.

MEDICARE: BRIAN A. MCCARTY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207XX0005XSports Medicine (Orthopaedic Surgery) Physician42733WI
2207X00000XOrthopaedic Surgery Physician42733WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275502031
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN A. MCCARTY M.D.
Provider Business Mailing Address
First Line : 3077 N MAYFAIR RD STE 305
Second Line :
City : WAUWATOSA
State : WI
Zip : 53222-4305
Country : US
Telephone Number : 414-384-6700
Fax Number : 414-727-1058
Provider Business Practice Location Address
First Line : 3077 N MAYFAIR RD STE 100
Second Line :
City : WAUWATOSA
State : WI
Zip : 53222-4305
Country : US
Telephone Number : 414-384-6700
Fax Number : 414-727-1058
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 02/25/2020

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