Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053723130 Individual Practitioner Male Practitioner

Benjamin Landgraf

Pediatrics • Brookfield, WI

Professional Overview & Biography Verified Profile Summary

Benjamin Landgraf is a registered healthcare professional specializing in Pediatrics in Brookfield, WI. Practice services are available at 12635 W BLUEMOUND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12635 W Bluemound Rd

Brookfield, WI 530058004

Telephone 4142580606
Fax 4142581953
Associated Practice Facility / Clinic
🏢 Children's Medical Group Facility NPI 1285809418

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Brookfield, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
31 Specialists

Practicing in Brookfield, WI (1245 Statewide)

Telehealth Adoption Rate
3.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-24
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WI 66515-20

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1053723130 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1013902121

Doctor of Medicine (M.D.)

NPI 1093352387

Doctor of Medicine (M.D.)

NPI 1124013891

Doctor of Medicine (M.D.)

Dr. Nicole Henricks , PsyD

Psychologist - Clinical

NPI 1306731724

Doctor of Psychology (Psy.D.)

Olivia Oddis

Social Worker - Clinical

NPI 1558217067
NPI 1609119668

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location September 24, 2024

Registered at 12635 W BLUEMOUND RD, BROOKFIELD, WI 530058004 (Tel: 4142580606)

📍
Updated Business Mailing Address September 24, 2024

Registered at 12635 W BLUEMOUND RD, BROOKFIELD, WI 530058004 (Tel: 4142580606)

NPI Profile Active July 07, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address July 07, 2017

Registered at 4855 S. MOORLAND ROAD, SUITE 250, NEW BERLIN, WI 531517494 (Tel: 2627896020)

📍
Updated Practice Location July 07, 2017

Registered at 4855 S MOORLAND RD STE 250, NEW BERLIN, WI 531517494 (Tel: 2627896020)

👤
Provider Name / Credentials Updated July 07, 2017

Recorded as BENJAMIN LANDGRAF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2017

Pediatrics (License #66515-20 in WI)

📍
Updated Practice Location June 02, 2017

Registered at 4855 S MOORLAND RD STE 250, NEW BERLIN, WI 531517494 (Tel: 2627896020)

NPI Profile Active May 23, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2014

Registered at 200 HAWKINS DR, DEPT OF PEDIATRICS, IOWA CITY, IA 522421009 (Tel: 4146300218)

📍
Updated Business Mailing Address May 23, 2014

Registered at 455 WATTS CT, NORTH LIBERTY, IA 523174842 (Tel: 4146300218)

👤
Provider Name / Credentials Updated May 23, 2014

Recorded as BENJAMIN LANDGRAF

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2014

Pediatrics (License #R-09970 in IA)

🟢
Initial NPI Registration & Enumeration May 23, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Benjamin Landgraf. Be the first to share your experience!

Sign in to leave a review for Benjamin Landgraf

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1053723130
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2014
Last Update: September 24, 2024
Sole Proprietor: No

Mailing Address

12635 W Bluemound Rd

Brookfield, WI 530058004

Phone: 4142580606

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.