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

Jonathan Gully, MD

Individual provider Internal Medicine Physician · NPI 1568650158

Jonathan Gully, MD is a Hospice/Palliative Care in Milwaukee, Wisconsin. Graduated from University of Minnesota Medical School in 2004, 22 years ago. Practices with The Medical College of Wisconsin Inc, a 2,093-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts and Wisconsin.

Years since qualifying
22
Trained at
University of Minnesota Medical School
Licensed in
MA, WI
In the registry since
2007
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 Palliative Care-Cancer Ctr Bldg
Milwaukee, WI 53226-3522
Phone: (414) 805-4607
Fax: (414) 805-4608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospice and Palliative Medicine (Internal Medicine) Physician (primary) Taxonomy 207RH0002X · Licence 53292 (WI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 235276 (MA)
Pediatrics Physician Taxonomy 208000000X · Licence 53292-020 (WI)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence 53292 (WI)

Record details

NPI number1568650158
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 9, 2007
Last updated in NPPESNovember 22, 2013

Medicare enrollment

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

Medicare specialtyHOSPICE/PALLIATIVE CARE
Also practisesHEMATOLOGY/ONCOLOGY, INTERNAL MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2004 (22 years in practice)
Group practice The Medical College Of Wisconsin Inc — 2093 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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