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

Brienna Marie Bostanche, DPM

Individual provider Foot & Ankle Surgery Podiatrist · NPI 1477255412

Brienna Marie Bostanche, DPM is a Foot & Ankle Surgery Podiatrist in Kenosha, Wisconsin. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

See every abbreviation used in this directory →

Practice location Address checks out

6123 Green Bay Rd Ste 100
Kenosha, WI 53142-2939
Phone: (262) 652-3668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 135.001206 (IL)

Record details

NPI number1477255412
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedMarch 21, 2023
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026

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