PRADEEP BANGALORE PRAKASH MD NPI 1831514900

NPI Information

  • NPI: 1831514900
  • Provider Name: PRADEEP BANGALORE PRAKASH, MD
  • Classification: Pediatrics - 2080P0203X
  • Specialization: Pediatric Critical Care Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 835 S VAN BUREN ST
    GREEN BAY, WI
    ZIP 54301
  • Phone: (920) 496-4700

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NPI Details

Pradeep Bangalore Prakash, MD is a pediatric critical care medicine pediatrics in Green Bay, WI. The provider is a pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. Pradeep Bangalore Prakash, MD NPI is 1831514900. 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:

835 S VAN BUREN ST
GREEN BAY, WI
ZIP 54301-526
Phone: (920) 496-4700

The NPI 1831514900 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 2/26/2014 and was last updated on 12/27/2024.

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
1208000000XPediatricsMD-41570IOWANo
22080P0203XPediatricsPediatric Critical Care MedicineMD-41570IOWANo
32080P0203XPediatricsPediatric Critical Care Medicine72580-20WISCONSINYes

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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