BRADLEY JAY FEDDERLY MD
NPI 1013926682
Hospitalist in Green Bay, WI

Active since August 05, 2006
2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8100(414) 762-4225 Get Directions Write a Review

NPPES record last updated: June 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradley Jay Fedderly Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY JAY FEDDERLY MD (NPI 1013926682) is an individual hospitalist provider in Green Bay, Wisconsin, licensed in Wisconsin (30118) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1013926682
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBRADLEY JAY FEDDERLYCredential: MD
Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519
Mailing Address2845 Greenbrier RdGreen Bay, WI 54311-6519 · (920) 288-8100 · Fax (414) 762-4225
Fax(414) 762-4225
Sole ProprietorNo
Enumeration DateAugust 5, 2006
Last NPPES UpdateJune 26, 2019
NPI 1013926682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WI · 30118
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 30118-20 (WI)
2845 GREENBRIER RD, Green Bay, WI 54311

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Hematology & Oncology)
2845 GREENBRIER RD
GREEN BAY, WI 54311
Genetic Counselor, MS
2845 GREENBRIER RD
GREEN BAY, WI 54311
Neurological Surgery
2845 GREENBRIER RD
GREEN BAY, WI 54311
Physical Therapist
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Emergency Medicine
2845 GREENBRIER RD
GREEN BAY, WI 54311
Nurse Anesthetist, Certified Registered
2845 GREENBRIER RD
GREEN BAY, WI 54311
Anesthesiology
2845 GREENBRIER RD
GREEN BAY, WI 54311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Fedderly's NPI number?

The NPI number for Bradley Fedderly is 1013926682. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is Bradley Fedderly located?

Bradley Fedderly practices at 2845 Greenbrier Rd, Green Bay, WI 54311. The listed phone number is (920) 288-8100.

What is Bradley Fedderly's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

When was this NPI record last updated?

The NPPES record for Bradley Fedderly was last updated on June 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.