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

Mr. Brian T. Stubitsch, MD

Individual provider Emergency Medicine Physician · NPI 1528041753

Mr. Brian T. Stubitsch, MD is an Emergency Medicine in Portage, Wisconsin. Qualified in 1996, 30 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Licensed in
WI
In the registry since
2005
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

2817 New Pinery Rd Divine Savior Healthcare Inc
Portage, WI 53901-9257
Phone: (608) 742-4131
Fax: (608) 742-6098
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 205 Parker St, Boscobel, WI 53805-1642 — (608) 375-4112

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 43813 020 (WI)

Record details

NPI number1528041753
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 22, 2005
Last updated in NPPESNovember 23, 2020
Certification dateNovember 23, 2020
Mailing addressPo Box 387, Divine Savior Healthcare Inc, Portage, WI 53901-0387

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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