NPI 1013926682
Bradley Jay Fedderly, MD
Practice location
- Address
- 2845 Greenbrier Rd, Green Bay, WI 54311-6519
- Phone
- (920) 288-8100
- Fax
- (414) 762-4225
Registered specialties (2)
Hospitalist Physician
Primary
Family Medicine Physician
Registry record
- NPI
- 1013926682
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 5 Aug 2006
- Record last updated
- 26 Jun 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.