IndividualActive
Pradeep Bangalore Prakash, MD
NPI 1831514900 · Pediatric Critical Care Medicine Physician · Green Bay, WI
Provider details
- NPI number
- 1831514900
- Entity type
- Individual
- Primary specialty
- Pediatric Critical Care Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 72580-20 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (920) 496-4700
Approximate (ZIP-level) locationGet directions
Mailing address
835 S Van Buren St
Green Bay, WI 54301-3526
Additional practice locations (2)
- 1111 6th AveDes Moines, IA 50314-2611Phone: (515) 247-3330Fax: (515) 643-8839
- 200 Hawkins DrIowa City, IA 52242-1009Phone: (319) 353-8105Fax: (319) 356-4855
Registry dates
- Enumerated
- 2014-02-26
- Last updated
- 2026-03-21
- Certified
- 2026-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.