Doctor profile · Federal record

Dr. Nicole Broz

General Practice Dentistry · Wauwatosa, WI

  • NPI 1124870910
  • 2 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
11904 W North Ave
Wauwatosa, WI 532262062
(414) 206-3356
Additional location
1801 W Wisconsin Ave
Milwaukee, WI 532332186
(262) 716-8468

Credentials & registration

NPPES · NUCC
NPI registered
April 2024 — 2 yrs on file
Profile last updated
July 2, 2024
Specialty taxonomy
1223G0001X — NUCC code
State license (1)
Wisconsin #6001599

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1124870910. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$36
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
Envista Holdings Corporation 1 $22.48
Philips North America LLC 1 $13.95

By nature of payment

Food and Beverage
$36

Frequently asked questions

Auto-generated from federal data
What is Dr. Nicole Broz's medical specialty?
Dr. Nicole Broz practices General Practice Dentistry in Wauwatosa, WI.
Where does Dr. Nicole Broz practice?
Dr. Nicole Broz practices at 11904 W North Ave, Wauwatosa, WI 532262062. Office phone: 4142063356.
What is Dr. Nicole Broz's NPI?
Dr. Nicole Broz's National Provider Identifier (NPI) is 1124870910, issued by NPPES.