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BRADLEY ALLEN LOCKE D.O. NPI 1336300276


NPI Information

NPI: 1336300276
Provider Name: BRADLEY ALLEN LOCKE, D.O.
Classification: Pediatrics - 2080P0201X
Entity Type: Individual

Specialization: Pediatric Allergy/Immunology

PECOS Registration: Yes

Address:
2793 LINEVILLE RD
GREEN BAY, WI
ZIP 54313
Phone: (920) 496-4700
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Bradley Allen Locke, D.O. is a pediatric allergy/immunology pediatrics in Green Bay, WI with 16 years of experience. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. Bradley Allen Locke, D.O. NPI is 1336300276. 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:

2793 LINEVILLE RD
GREEN BAY, WI
ZIP 54313-152
Phone: (920) 496-4700

The NPI 1336300276 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 8/5/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics55834WISCONSINNo
22080P0201XPediatricsPediatric Allergy/Immunology55834-020WISCONSINYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.