BRADLEY ALLEN LOCKE


Address: 2793 Lineville Rd, Green Bay, WI 54313-7152
Phone: 9204964700

BRADLEY ALLEN LOCKE (NPI# 1336300276) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336300276
Entity Type Individual
Full Name BRADLEY ALLEN LOCKE
Credential D.O.
Practice Address 2793 Lineville Rd
Green Bay
WI 54313-7152
Practice Telephone 9204964700
Mailing Telephone 9204964700
Enumeration Date 2008-06-23
Last Update Date 2014-08-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208000000X Pediatrics 55834 WI Allopathic & Osteopathic Physicians
Y 2080P0201X Pediatrics
Specialization: Pediatric Allergy/Immunology
55834-020 WI Allopathic & Osteopathic Physicians

Office Location

Street Address 2793 LINEVILLE RD
City GREEN BAY
State WI
Zip Code 54313-7152

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932172053 Susan Frangiskakis Specialist 2793 Lineville Rd, Green Bay, WI 54313-7152 2006-02-09
1063026276 Matthew John Sprister Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-09-04
1780215251 Christine Hyde Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2020-02-03
1275049140 Miranda Mary Cseter Physician Assistant 2793 Lineville Rd, Green Bay, WI 54313-7152 2017-12-14
1205205424 Jennifer N. Charles Registered Nurse 2793 Lineville Rd, Green Bay, WI 54313-7152 2015-09-17
1316222771 Tiffany Lynn Laughlin Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2011-10-18
1720217722 St Vincent Hospital-hospital Sisters-third Order of St Francis Durable Medical Equipment & Medical Supplies 2793 Lineville Rd, Green Bay, WI 54313-7152 2009-07-11
1154563229 Joshua D Rankin Pediatrics 2793 Lineville Rd, Green Bay, WI 54313-7152 2009-04-03
1003080102 Mark Andrew Kachan Podiatrist 2793 Lineville Rd, Green Bay, WI 54313-7152 2008-04-18
1013197979 Mariruth Neff Nurse Practitioner 2793 Lineville Rd, Green Bay, WI 54313-7152 2007-11-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548823420 Martha Lynn Drew Licensed Practical Nurse 3101 Molly Brown Lane, Green Day, WI 54313 2019-04-17
1831691872 Melanie Hammerbeck Dentist 1756 Cardinal Ln, Green Bay, WI 54313 2018-03-06
1649727108 Amanda Marie Mckeefry Dental Hygienist 2304 Lineville Rd, Suite 101, Green Bay, WI 54313 2016-09-01
1326594813 Kaylee Schartner Dental Hygienist 2304 Lineville Road, Suite 100, Suamico, WI 54313 2016-08-25
1134500226 Salvanz Enterprises Inc Pharmacy 2673 Lineville Road, Green Bay, WI 54313 2015-06-15
1467849307 Maureen Riordan Specialist/Technologist 2957 S Telemark Cir., Green Bay, WI 54313 2015-04-17
1043556780 Kellen James Binder Chiropractor 2638 Tulip Lane, Suite B, Green Bay, WI 54313 2012-12-28
1407092737 Sara Ann Anderson Registered Nurse 2691 Shade Tree Ln, Green Bay, WI 54313 2008-12-16
1467601344 Melissa Lea Socha Speech-Language Pathologist 2153 School Lane, Suamiro Elementary, Green Bay, WI 54313 2008-09-16
1003070707 Anne Marie Hein Physical Therapist 3101 S Packerland Dr, Green Bay, WI 54313 2008-07-11
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Taxonomy Information

Taxonomy Code 2080P0201X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Allergy/Immunology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104893312 Robert F Lemanske Jr. Pediatrics 3515 Sunset Dr, Madison, WI 53705-1430 2006-03-07
1659613263 Samantha Mae Knox Pediatrics 1836 South Ave, La Crosse, WI 54601 2013-03-21
1780959924 Eric Michael Schauberger Pediatrics 451 Junction Rd, Madison, WI 53717 2012-03-21
1699004812 Sima K Ramratnam Pediatrics 1675 Highland Ave, Madison, WI 53792-0001 2009-12-17
1629118211 Katherine Ann Gonzaga Pediatrics 6408 Copps Ave, Monona, WI 53716-3702 2007-02-06
1013920297 Kristen Volkman Pediatrics 8500 75th St, Suite 101, Kenosha, WI 53142-8213 2006-08-15
1770592545 Eli M. Eisenstein Pediatrics 9000 W Wisconsin Ave, Milwaukee, WI 53226-3518 2006-08-07
1003823923 Daniel J Jackson Pediatrics 600 Highland Ave, Csc Box 9988, Madison, WI 53792-0001 2006-08-02
1396792891 John M. Routes Pediatrics 9000 W Wisconsin Ave, Pediatric Allery and Immunology, Milwaukee, WI 53226-4874 2006-05-28
1780634840 Anne Marie Singh Pediatrics 451 Junction Rd, Madison, WI 53717-2656 2006-05-11
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Competitor

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City GREEN BAY
Zip Code 54313

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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