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

Dr. Brian Jay Jellison, MD

Individual provider Diagnostic Radiology Physician · NPI 1225016835

Dr. Brian Jay Jellison, MD is a Diagnostic Radiology in Milwaukee, Wisconsin. Graduated from Indiana University School of Medicine in 2000, 26 years ago. Practices with Northwest Radiology Network P C, a 21-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Indiana, Massachusetts, New Mexico and Wisconsin.

Years since qualifying
26
Trained at
Indiana University School of Medicine
Licensed in
IN, MA, NM, WI
In the registry since
2006
Specialties on file
4
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

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-2060
Fax: (414) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1905 N Calhoun Rd, Brookfield, WI 53005-5005 — (262) 754-8000
  • 4455 S 108th St, Greenfield, WI 53228-2504 — (414) 427-5310
  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 257-3060

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 46406 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 223452 (MA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 01061964A (IN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD2008-0142 (NM)

Record details

NPI number1225016835
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 4, 2006
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNEUROLOGY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice Northwest Radiology Network P C — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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