Organization · Type 2 NPI

Dva Renal Healthcare Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Brookfield, WI

NPI number 1881659639 Active

Practice location

19395 W Capitol Dr Bldg C
Brookfield, WI 53045-2736

Call (262) 781-0273 Map

Fax (262) 781-0305

Mailing address

5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1881659639
Entity type: Organization (Type 2)
Issued: Apr 17, 2006
Last updated: Jul 17, 2025
Status: Active

Other names

<unavail>
Brookfield Dialysis · doing business as
Brookfield Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1881659639

Dva Renal Healthcare Inc's National Provider Identifier is 1881659639, issued on Apr 17, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Brookfield, WI. The record was last updated on Jul 17, 2025.