IndividualActive
Bruce Wilber, SAC
NPI 1003063157 · Addiction (Substance Use Disorder) Counselor · Gresham, WI
Provider details
- NPI number
- 1003063157
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- SAC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15433131 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Phone: (715) 799-3835
Fax: (715) 799-3836
Street-level locationGet directions
Mailing address
N2150 Kesaehkahtek Rd
Gresham, WI 54128-9602
Registry dates
- Enumerated
- 2008-08-20
- Last updated
- 2008-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.