Bradley J Fedderly (NPI# 1013926682, PAC ID# 8628980950) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1013926682 |
| PAC ID by PECOS | 8628980950 |
| Professional Enrollment ID | I20050603000848 |
| Full Name | Bradley J Fedderly |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Address |
5000 Memorial Dr Two Rivers WI 54241-3900 |
| Phone Number | 9207945000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1985 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6709794258 |
| Number of Group Practice Members | 2271 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520193 | AURORA BAYCARE MEDICAL CENTER |
| 520034 | AURORA MEDICAL CTR MANITOWOC COUNTY |
| Address | Phone | Organization |
|---|---|---|
| 2253 W Mason St, Green Bay, WI 54303-4706 | 9203277246 | BAYCARE AURORA, LLC |
| 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | 9202888000 | BAYCARE AURORA, LLC |
| 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 9207945000 | AURORA MEDICAL GROUP INC |
| Organization Legal Name | AURORA MEDICAL GROUP INC |
| Physicians | 2268 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brianna A Smith | Psychologist, Clinical | Aurora Medical Group Inc | 2424 S 90th St, West Allis, WI 53227-2455 |
| Ryan F Brower | Family Medicine | Aurora Medical Group Inc | 201 Townline Rd, Lake Geneva, WI 53147-4612 |
| Jeffrey T Lyvers | Anesthesiology | Aurora Medical Group Inc | 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 |
| Vanja Z Rissky | Nurse Practitioner | Aurora Medical Group Inc | 2801 W Kinnickinnic River Pkwy, Milwaukee, WI 53215-3669 |
| Kelly J Herbst-frailing | Physical Therapy | Aurora Medical Group Inc | 9000 W Sura Ln, Greenfield, WI 53228-3477 |
| Chinwe D Opara | Nurse Practitioner | Aurora Medical Group Inc | 3023 S 84th St, West Allis, WI 53227-3703 |
| Courtney F Klatt | Nurse Practitioner | Aurora Medical Group Inc | 1902 Mead Ave, Sheboygan, WI 53081-6140 |
| Nandita Batchra | Otolaryngology | Aurora Medical Group Inc | 8400 Washington Ave, Mount Pleasant, WI 53406-3735 |
| Phenu V Zachariah | Endocrinology | Aurora Medical Group Inc | 1151 Warwick Way, Racine, WI 53406-5661 |
| Adam M Stoll | Clinical Social Worker | Aurora Medical Group Inc | 12225 71st St, Kenosha, WI 53142-7320 |
| Street Address |
5000 MEMORIAL DR |
| City | TWO RIVERS |
| State | WI |
| Zip | 54241-3900 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terra L Hartman | Nurse Practitioner | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Scott W Harris | Certified Registered Nurse Anesthetist (crna) | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Mahesh V Desai | General Surgery | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Patricia L Huston | Certified Registered Nurse Anesthetist (crna) | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Maureen A Mahlik Puls | Registered Dietitian Or Nutrition Professional | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Tonia M Greenwood | Anesthesiology | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Robert Sorensen | Emergency Medicine | Aurora Health Care North Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Jeffrey D Schroeder | Internal Medicine | Aurora Health Care North Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| John P Hamilton | Certified Registered Nurse Anesthetist (crna) | Aurora Medical Group Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Thomas R Mccann | Emergency Medicine | Aurora Health Care North Inc | 5000 Memorial Dr, Two Rivers, WI 54241-3900 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Barbara L Heilman | Nurse Practitioner | Holy Family Memorial Inc | 3310 45th St, Two Rivers, WI 54241-1049 |
| Monique M Litersky | Clinical Social Worker | 2206 A Forest Ave, Two Rivers, WI 54241-1912 | |
| Christopher John Simons | Chiropractic | 3009 Forest Ave, Two Rivers, WI 54241-1926 | |
| Arthur E Jordan | Chiropractic | 2209 Washington St, Two Rivers, WI 54241-2240 | |
| Janna Kroiss | Family Medicine | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Norman J Schroeder | Family Medicine | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Carey L Willman | Nurse Practitioner | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Mary P Gospodarek | Nurse Practitioner | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Tracy L Sherman | Geriatric Medicine | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Elmer L Linboom | Family Medicine | Aurora Medical Group Inc | 2219 Garfield St, Two Rivers, WI 54241-2416 |
| Find all physicians in zip 54241 | |||
| City | TWO RIVERS |
| Zip Code | 54241 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | TWO RIVERS + FAMILY PRACTICE |
Please comment or provide details below to improve the information on Bradley J Fedderly.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.