MEDICARE: DR. BRIGG W BARSNESS MD

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
1	207Q00000X	Family Medicine Physician	51515	WI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	K400423195	OTHER	WI	MEDICARE UHS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	51515	OTHER	WI	LICENSE

General Provider Information

NPI Number	:	1558525121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIGG W BARSNESS MD

Provider Business Mailing Address
First Line	:	7322 236TH AVE OFC MELISSA
Second Line	:
City	:	SALEM
State	:	WI
Zip	:	53168-9664
Country	:	US
Telephone Number	:	262-577-8460
Fax Number	:	262-843-8751

Provider Business Practice Location Address
First Line	:	7322 236TH AVE
Second Line	:
City	:	SALEM
State	:	WI
Zip	:	53168-9664
Country	:	US
Telephone Number	:	262-577-8460
Fax Number	:	262-843-8751

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2008
Last Update Date	:	12/03/2018

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Directions to “ DR. BRIGG W BARSNESS MD” Practice Location

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