WILLIAM BRADFORD LYLES M.D. NPI 1386799328

NPI Information

NPI: 1386799328
Provider Name: WILLIAM BRADFORD LYLES, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

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

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
1	2084P0800X	Psychiatry & Neurology	Psychiatry	40554-020	WISCONSIN	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	40554-020	WISCONSIN	Yes

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
1	1386799328	MEDICARE NSC	WISCONSIN

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: 11/14/2023

NPI Synchronization or Removal

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