Healthcare Provider Details

I. General information

NPI: 1578498671
Provider Name (Legal Business Name): BRAYDEN GLENWILLIAM MCNEIL PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 LINCOLN DR
MADISON WI
53706-1314
US

IV. Provider business mailing address

500 LINCOLN DR
MADISON WI
53706-1314
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-2400
  • Fax: 608-265-3277
Mailing address:
  • Phone: 608-263-2400
  • Fax: 608-265-3277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number23446-40
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: