Healthcare Provider Details

I. General information

NPI: 1447271309
Provider Name (Legal Business Name): BRANKO PRPA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 09/10/2025
Certification Date: 09/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7200 WASHINGTON AVE STE 101
MT PLEASANT WI
53406-6516
US

IV. Provider business mailing address

7200 WASHINGTON AVE STE 101
MT PLEASANT WI
53406-6516
US

V. Phone/Fax

Practice location:
  • Phone: 414-939-5447
  • Fax: 262-583-1769
Mailing address:
  • Phone: 414-939-5447
  • Fax: 262-583-1769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number44808-020
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: