NPI 1003511403

Brandon Bacalzo, MD

Practitioner Psychiatry Physician Madison, WI

Practice location

Address: 600 Highland Ave, Madison, WI 53792-1465
Phone: (608) 263-6400
Mailing address: 749 University Row STE 200, Madison, WI 53705-1465

Registered specialties (2)

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 100432-851 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003511403
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Apr 2023
Record last updated: 14 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.