Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Adam E. Blackwell, MD

Individual provider Family Medicine Physician · NPI 1184913055

Adam E. Blackwell, MD is a Family Practice in Shorewood, Wisconsin. Graduated from Medical College of Wisconsin in 2011, 15 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
15
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 E Capitol Dr
Shorewood, WI 53211-2335
Phone: (414) 424-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 59957 (WI)

Record details

NPI number1184913055
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2011
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address1901 E Capitol Dr, Shorewood, WI 53211-2335

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2011 (15 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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