WILLIAM BRADFORD LYLES M.D. NPI 1386799328

NPI Information

  • NPI: 1386799328
  • Provider Name: WILLIAM BRADFORD LYLES, M.D.
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Individual
  • Address: 840 WILLARD DR
    SUITE 201
    GREEN BAY, WI
    ZIP 54304
  • Phone: (920) 497-0788

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NPI Details

William Bradford Lyles, M.D. is a child and adolescent psychiatry psychiatry neurology in Green Bay, WI. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. William Bradford Lyles, M.D. NPI is 1386799328. 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:

840 WILLARD DR
SUITE 201
GREEN BAY, WI
ZIP 54304-204
Phone: (920) 497-0788

The enumeration date for this NPI number is 1/23/2007 and was last updated on 11/7/2007.

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
12084P0800XPsychiatry & NeurologyPsychiatry40554-020WISCONSINNo
22084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry40554-020WISCONSINYes

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
11386799328MEDICARE NSCWISCONSIN

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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