Basic Information
| Provider Information | |||||||||
| NPI: | 1558525121 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BARSNESS | ||||||||
| FirstName: | BRIGG | ||||||||
| MiddleName: | W | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7322 236TH AVE OFC MELISSA | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531689664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2625778460 | ||||||||
| FaxNumber: | 2628438751 | ||||||||
| Practice Location | |||||||||
| Address1: | 7322 236TH AVE | ||||||||
| Address2: | |||||||||
| City: | SALEM | ||||||||
| State: | WI | ||||||||
| PostalCode: | 531689664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2625778460 | ||||||||
| FaxNumber: | 2628438751 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/14/2008 | ||||||||
| LastUpdateDate: | 12/03/2018 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 51515 | WI | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | K400423195 | 01 | WI | MEDICARE UHS | OTHER | 51515 | 01 | WI | LICENSE | OTHER |