Healthcare Provider Details

I. General information

NPI: 1467912030
Provider Name (Legal Business Name): JASON BROWNE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2801 W. KINNICKINNIC RIVER PKWY, STE 1080
MILWAUKEE WI
53215-3689
US

IV. Provider business mailing address

2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE WI
53215-3689
US

V. Phone/Fax

Practice location:
  • Phone: 414-908-6506
  • Fax: 414-908-6510
Mailing address:
  • Phone: 414-908-6500
  • Fax: 414-908-6510

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01087307A
License Number StateIN
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number85677-20
License Number StateWI
# 4
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number85677-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: