Provider Demographics
NPI:1255540134
Name:BARKIMER, BRETT A (MD)
Entity type:Individual
Prefix:DR
First Name:BRETT
Middle Name:A
Last Name:BARKIMER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:W129N7055 NORTHFIELD DRIVE
Mailing Address - Street 2:INTERNAL MEDICINE
Mailing Address - City:MENOMONEE FA;;S
Mailing Address - State:WI
Mailing Address - Zip Code:53051-0538
Mailing Address - Country:US
Mailing Address - Phone:262-253-5400
Mailing Address - Fax:262-253-3399
Practice Address - Street 1:W129N7055 NORTHFIELD DR
Practice Address - Street 2:
Practice Address - City:MENOMONEE FALLS
Practice Address - State:WI
Practice Address - Zip Code:53051-0537
Practice Address - Country:US
Practice Address - Phone:262-253-2510
Practice Address - Fax:262-253-3399
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2022-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI51103208000000X
WI51103-020207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1255540134Medicaid
WI0344 68086Medicare PIN
WI736011675Medicare PIN