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DOUGLAS CLYDE BREY LLP
NPI 1093886723
Counselor - Professional in Oshkosh, WI

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
220 WASHINGTON AVE, OSHKOSH, WI 54901(920) 236-4700(920) 236-1157 Get Directions Write a Review

NPPES record last updated: September 19, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Douglas Clyde Brey Llp NPPES

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

DOUGLAS CLYDE BREY LLP (NPI 1093886723) is an individual professional provider in Oshkosh, Wisconsin, licensed in Wisconsin (4871) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other.

NPPES Registry Identity

NPI1093886723
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDOUGLAS CLYDE BREYCredential: LLP
Location Address220 WASHINGTON AVEOshkosh, WI 54901-5030
Mailing Address220 Washington AveOshkosh, WI 54901-5030 · (920) 236-4700 · Fax (920) 236-1157
Phone(920) 236-4700
Fax(920) 236-1157
Sole ProprietorNo
Medical School CMSOther
Enumeration DateNovember 13, 2006
Last NPPES UpdateSeptember 19, 2016
✔ NPI 1093886723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in WI · 4871
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 6301011664 (MI)
220 WASHINGTON AVE, Oshkosh, WI 54901
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Douglas Clyde Brey Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507208998
PECOS Enrollment IDI20240530003441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Douglas Brey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Washington County Wisconsin
45 mi
Community/Behavioral Health
333 E. WASHINGTON STREET, SUITE 2100
West Bend, WI 53095
  • Reassigned Medicare billing, Wisconsin enrollment
  • 18 clinicians in this Medicare group
NPI 1609801778 (262) 335-4583

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

SANDRA MAGNUSON
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4600
STACEY CARLSON CNA
Nurse's Aide
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
RACHEL A KELBERT A.P.S.W.
Case Manager/Care Coordinator
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
SAMANTHA N BECKER
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
SHARON SCHNECKENBERG B.S.
Case Manager/Care Coordinator
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
LAURA A CRAIG RN
Registered Nurse (Psychiatric/Mental Health)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
THERESA A BOUDREAU-VNUK B.X.
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700
MARISSA B LEE
Social Worker (Clinical)
220 WASHINGTON AVE
OSHKOSH, WI 54901
Winnebago County (920) 236-4700

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 Douglas Brey's NPI number?

The NPI number for Douglas Brey is 1093886723. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Douglas Brey located?

Douglas Brey practices at 220 Washington Ave, Oshkosh, WI 54901. The listed phone number is (920) 236-4700.

What is Douglas Brey's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Douglas Brey enrolled in Medicare?

Yes. Douglas Brey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Douglas Brey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Brey reassigns Medicare benefits to Washington County Wisconsin (West Bend, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Brey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Brey was last updated on September 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.