DR. FRED WALBRUN MD NPI 1306848700

NPI Information

  • NPI: 1306848700
  • Provider Name: DR. FRED WALBRUN, MD
  • Classification: Internal Medicine - 207RG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Individual
  • Address: 1715 DOUSMAN ST
    GREEN BAY, WI
    ZIP 54303
  • Phone: (920) 272-1570

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NPI Details

DR. Fred Walbrun, MD is a geriatric medicine internal medicine in Green Bay, WI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. DR. Fred Walbrun, MD NPI is 1306848700. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1715 DOUSMAN ST
GREEN BAY, WI
ZIP 54303-211
Phone: (920) 272-1570
Fax: (920) 431-1823

The enumeration date for this NPI number is 8/15/2005 and was last updated on 9/15/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0300XInternal MedicineGeriatric Medicine22566WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B57418MEDICARE UPINWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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