Individual provider · Type 1 NPI

Nicholas Bacon, RN

Emergency Medicine Physician · Mequon, WI

NPI number 1124933007 Active

Practice location

6250 Spur Rd Apt 215
Mequon, WI 53092-4430

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician Primary 207P00000X26589530 (WI)

Emergency Medicine Physician: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in respo…

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About NPI 1124933007

Nicholas Bacon, RN's National Provider Identifier is 1124933007, issued on Aug 17, 2026. The primary taxonomy on file is Emergency Medicine Physician (207P00000X), and the practice location is in Mequon, WI. The record was last updated on Aug 17, 2026.