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

Individual provider Anesthesiology Physician · NPI 1760781900

Brent Thomas Boettcher is an Anesthesiology in Milwaukee, Wisconsin. Qualified in 2011, 15 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2011
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Practice location Address checks out

9200 W Wisconsin Ave Dept OF Anesthesiology
Milwaukee, WI 53226-3522
Phone: (414) 805-6104
Fax: (414) 805-5195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 58704 (WI)

Record details

NPI number1760781900
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 26, 2011
Last updated in NPPESJuly 13, 2017

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Milwaukee