Dr. Kimberly Bannon, M.D.
Obstetrics & Gynecology in Madison, WI. Individual provider (NPI-1).
NPI number1447549829
StatusActive
Last updated in NPPESMay 18, 2023
Details
- NPI
- 1447549829
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kimberly Bannon
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2011
- Certification date
- May 18, 2023
- Last updated
- May 18, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036.137482 | IL | Yes |
| 207V00000X | Obstetrics & Gynecology | 036-137482 | IL | |
| 207V00000X | Obstetrics & Gynecology | 81658-20 | WI |
Other names
- Kimberly Marie Dubois (Former Name)
Practice location
2402 Winnebago StMadison, WI 53704-5341
Phone 608-242-6840
Mailing address
7974 Uw Health CtMiddleton, WI 53562-5531
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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