ANDREW BRAYER (MD) – Family Medicine Physician, NPI 1104921360

ANDREW BRAYER (MD) is a healthcare provider. based in Oak creek, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 39019 (WI). The NPI Number for ANDREW BRAYER (MD) is 1104921360

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW BRAYER (MD)
NPI
1104921360
Phone
(414) 346-8000
Address
7901 S 6TH ST
Enumeration Date
13 September 2006
Last Update Date
25 November 2024

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2622535060
Graduation Year
1996 (30 years ago)
PAC ID
0547390619
Group Practice PAC ID
3678760063
Professional Enrollment ID
I20100616000508
Address ID
WI530223239GEW168NAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

Provider Addresses for ANDREW BRAYER (MD)

  • 7901 S 6TH ST

    OAK CREEK, WI 531542010

    Phone: (414) 346-8000

    Fax: (414) 346-8010

    Type: Mailing

  • Columbia College of Nursing, 4425, North Port Washington Road, Grover Heights, Glendale, Milwaukee County, Wisconsin, 53212, United States

    ATTN: CSMCP CLINIC CREDENTIALING

    GLENDALE, WI 532121082

    Phone: (414) 769-2540

    Type: Mailing

  • 4848, South 6th Street, Mitchell West, Airport Gateway, Milwaukee, Milwaukee County, Wisconsin, 53221, United States

    MILWAUKEE, WI 532212462

    Phone: (414) 769-2540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100616000508IFamily PracticeWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7359$0
99214Established patient office or other outpatient visit, 30-39 minutes5146$0
View full utilization report →

Insurance plans in this area (ZIP 53154)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678760063View full group profile
NameSpecialtyState
-WI
-WI
Diagnostic RadiologyWI
Family Practice, Emergency MedicineWI
P S Y C H I A T R YWI
Internal MedicineWI
-WI
-WI
Physical Therapist In Private PracticeWI
-WI

Reviews

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Frequently asked questions

What unique ID ties claims to ANDREW BRAYER (MD)?
NPI 1104921360 is assigned to ANDREW BRAYER (MD) under the national enumeration system.
Is ANDREW BRAYER (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does ANDREW BRAYER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for ANDREW BRAYER (MD). Clinical services aligned with this taxonomy classification.
Where is ANDREW BRAYER (MD)'s primary listing?
We display Oak Creek, Wisconsin because that is what the record indicates for ANDREW BRAYER (MD).
How can I contact ANDREW BRAYER (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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