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

Brendon Kyle Luvisa, MD

Individual provider Plastic Surgery Physician · NPI 1790311660

Brendon Kyle Luvisa, MD is a Plastic Surgery Physician in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
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

1255 Fourier Dr Ste 102
Madison, WI 53717-2176
Phone: (608) 903-9253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence 86380-20 (WI)

Record details

NPI number1790311660
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 23, 2020
Last updated in NPPESJanuary 27, 2026
Certification dateJanuary 27, 2026
Mailing address1255 Fourier Dr Ste 102, Madison, WI 53717-2176

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