BRADLEY D KLINGER (MA) – Professional Counselor, NPI 1558774075

BRADLEY D KLINGER (MA) is a healthcare provider. based in Brown deer, Wisconsin. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 11068 (WI). The NPI Number for BRADLEY D KLINGER (MA) is 1558774075

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
BRADLEY D KLINGER (MA)
NPI
1558774075
Phone
(414) 540-2170
Address
3900 W BROWN DEER RD STE 200
Enumeration Date
3 June 2014
Last Update Date
2 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4145402170256
Graduation Year
2018 (8 years ago)
PAC ID
1759815475
Group Practice PAC ID
0143324954
Professional Enrollment ID
I20241118000061
Address ID
WI532091220BR3900XRDXX502
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience53
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,748 MENTAL HEALTH COUNSELOR in WI

Provider Addresses for BRADLEY D KLINGER (MA)

  • 3900 W BROWN DEER RD STE 200

    BROWN DEER, WI 532091220

    Phone: (414) 540-2170

    Fax: (414) 540-2171

    Type: Mailing

  • 4292 W. FON DU LAC AVE

    MILWAUKEE, WI 53216

    Phone: (414) 871-6122

    Type: Mailing

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: 2024-11-18

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
I20241118000061IMental Health CounselorWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53209)

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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: 0143324954View full group profile
NameSpecialtyState
Clinical PsychologistWI
Marriage And Family TherapistWI
Clinical Social WorkerWI
P S Y C H I A T R YWI
Marriage And Family TherapistWI
Marriage And Family TherapistWI
Mental Health CounselorWI
Mental Health CounselorWI
Clinical PsychologistWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What is the registry number for BRADLEY D KLINGER (MA)?
The registry entry for BRADLEY D KLINGER (MA) shows NPI 1558774075.
Should I treat BRADLEY D KLINGER (MA) as an active provider?
Patients and plans typically see BRADLEY D KLINGER (MA) as active in the national extract.
What does the directory say BRADLEY D KLINGER (MA) does?
Insurance directories may phrase it differently, but here BRADLEY D KLINGER (MA) maps to Professional Counselor. Clinical services aligned with this taxonomy classification.
Is BRADLEY D KLINGER (MA) tied to Brown Deer, Wisconsin?
If you are local to Brown Deer, Wisconsin, BRADLEY D KLINGER (MA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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