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

Shane Breeze-Baldauf

Individual provider Family Medicine Physician · NPI 1891159612

Shane Breeze-Baldauf is a Family Practice in Milwaukee, Wisconsin. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2016, 10 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
10
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
WI
In the registry since
2016
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Practice location Address checks out

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone: (414) 283-8444
Fax: (414) 274-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575
  • 8701 W Watertown Plank Rd, Milwaukee, WI 53226-3548 — (414) 955-4575

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 68339 (WI)

Record details

NPI number1891159612
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021
Mailing address1575 N Rivercenter Dr, Milwaukee, WI 53212-3978

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2016 (10 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Milwaukee