BERTRAM I MILSON (NPI# 1346201381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346201381 |
| Entity Type | Individual |
| Full Name | BERTRAM I MILSON |
| Credential | M.D. |
| Practice Address |
124 Siegler St Green Bay WI 54303-2636 |
| Practice Telephone | 9204949661 |
| Practice Fax Number | 9204963792 |
| Mailing Telephone | 9204949661 |
| Mailing Fax Number | 9204963792 |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2012-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 12761-20 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 30985100 | 05 |
| Street Address |
124 SIEGLER ST |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54303-2636 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508142001 | Teresa Marie Gajewski | Physician Assistant | 124 Siegler St, Green Bay, WI 54303-2636 | 2011-10-27 |
| 1265634331 | Dousman Clinic, S.c. | Family Medicine | 124 Siegler St, Green Bay, WI 54303-2636 | 2007-06-01 |
| 1871556134 | Bellin Memorial Hospital Inc | Pediatrics | 124 Siegler St, Green Bay, WI 54303-2636 | 2006-04-08 |
| 1760445316 | Bellin Psychiatric Center Inc | Psychiatry & Neurology | 124 Siegler St, Green Bay, WI 54303-2636 | 2006-04-06 |
| 1598727000 | Mark K Jenson | Family Medicine | 124 Siegler St, Green Bay, WI 54303-2636 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921033 | Ashley Marie Vandermoss | Social Worker | 1601 W Mason Street, Green Bay, WI 54303 | 2020-04-20 |
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1215579552 | Integrated Treatment Centers, LLC | Clinic/Center | 2311 W Mason Street, Green Bay, WI 54303 | 2019-10-08 |
| 1003460551 | Affordable Dentures & Implants - Green Bay, S.c. | Dentist | 1800-c W. Mason Street, Green Bay, WI 54303 | 2019-08-01 |
| 1164940375 | Kaeley Rae Blaney | Student in an Organized Health Care Education/Training Program | 2088 Memorial Drive #208, Green Bay, WI 54303 | 2017-09-07 |
| 1518498047 | Treatment Providers LLC | Clinic/Center | 2731 N Packerland Dr Ste A, Green Bay, WI 54303 | 2017-03-26 |
| 1851840565 | Back To Balance Chiropractic, LLC | Chiropractor | 110 Packerland Drive, Suite B, Green Bay, WI 54303 | 2016-09-23 |
| 1710361001 | Matthew Lemay | Acupuncturist | 727 E Walnut, Suite B2, Green Bay, WI 54303 | 2015-07-16 |
| 1144600149 | Carrie Jean Banaszak | Counselor | 1039 Mason Street, Green Bay, WI 54303 | 2015-06-04 |
| 1174921993 | Kensey Meyer | Occupational Therapy Assistant | 1555 Dousman Road, Seymour, WI 54303 | 2014-12-10 |
| Find all providers in zip 54303 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083812887 | Eleazar M Kadile | General Practice | 1538 Bellevue Street, Green Bay, WI 54311 | 2007-07-03 |
| 1861527863 | East Side Family Practice Sc | General Practice | 424 S Monroe Ave Ste 106, Green Bay, WI 54301-4054 | 2007-02-22 |
| 1376735373 | Bellin Memorial Hospital | General Practice | 215 N Webster Ave, Green Bay, WI 54301-4813 | 2007-08-14 |
| 1629260625 | Bellin Memorial Hospital | General Practice | 1630 Commanche Ave, Green Bay, WI 54313-6089 | 2007-08-14 |
| 1871600304 | John P Kiser | General Practice | 2253 W Mason St, #200, Green Bay, WI 54303 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104458025 | Lisa M Bender | General Practice | 213 Bergamont Blvd Apt 101, Oregon, WI 53575-3722 | 2020-02-08 |
| 1093368607 | New Medical Center, S.c. | General Practice | 160 Gateway Dr, Ste A, Waupun, WI 53963-2276 | 2019-07-23 |
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1750866828 | Fi-med Management Inc | General Practice | 333 Bishops Way Ste 122, Brookfield, WI 53005-6209 | 2018-09-25 |
| 1073017265 | Vincent Lucas David Fryer | General Practice | 2329 Sunny Ln Apt C, Suamico, WI 54313-7821 | 2018-03-21 |
| 1952846982 | Practice Partners Healthcare Group, S.c. | General Practice | 1434 Thelen Farm Trl, Houlton, WI 54082-2062 | 2016-12-29 |
| 1649647462 | Astia Health Clinical Services, Sc | General Practice | 630 S Central Ave Ste 303, Marshfield, WI 54449-4196 | 2015-08-27 |
| 1306237417 | Aaron Rosenberg | General Practice | 1516 W Mequon Rd Ste 103, Mequon, WI 53092-3264 | 2015-02-10 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| Find all providers with the same taxonomy | ||||
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| 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.