IndividualActive
Bradley Locke, D.O.
NPI 1336300276 · Pediatric Allergy/Immunology Physician · Green Bay, WI
Provider details
- NPI number
- 1336300276
- Entity type
- Individual
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 55834 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2793 Lineville Rd
Green Bay, WI 54313-7152
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
2793 Lineville Rd
Green Bay, WI 54313-7152
Registry dates
- Enumerated
- 2008-06-23
- Last updated
- 2014-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.