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PREVEA REGIONAL
NPI 1194748061
Family Medicine in Green Bay, WI

Active since July 25, 2006
2710 EXECUTIVE DR, GREEN BAY, WI 54304(920) 496-4700(920) 496-4705 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prevea Regional NPPES

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

PREVEA REGIONAL (NPI 1194748061) is a healthcare organization registered as a family medicine in Green Bay, Wisconsin and active in the NPI registry since July 2006. The organization lists Richard Rolston, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1194748061
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePREVEA REGIONAL SERVICES, INC.
Location Address2710 EXECUTIVE DRGreen Bay, WI 54304-5496
Mailing AddressPo Box 19070, Prevea Health RegionalGreen Bay, WI 54307-9070 · (920) 496-4700 · Fax (920) 496-4705
Phone(920) 496-4700
Fax(920) 496-4705
Organization SubpartNo
Authorized OfficialRichard RolstonPresident And Ceo · (920) 496-4700
Enumeration DateJuly 25, 2006
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1194748061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2710 EXECUTIVE DR, Green Bay, WI 54304
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Other Names 1

Doing Business AsPrevea Regional

Other Identifiers 2

Medicare PIN07555
Medicare PIN83070

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

KAYLA BRANAM
Nurse Practitioner (Family)
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
General Practice
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 433-8287
PREVEA CLINIC, INC.
Internal Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
DANIELLE KALLIN
Specialist/Technologist (Athletic Trainer)
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
LAURA M NELSON MD
Internal Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700
ST. VINCENT HOSPITAL OF THE HOSPITAL SISTERS-THIRD ORDER OF ST. FRANCI
Family Medicine
2710 EXECUTIVE DR
GREEN BAY, WI 54304
Brown County (920) 496-4700

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 Prevea Regional Services, Inc.'s NPI number?

The NPI number for Prevea Regional Services, Inc. is 1194748061. It was assigned to this organization in the NPPES registry on July 25, 2006. The provider is doing business as Prevea Regional.

Where is Prevea Regional Services, Inc. located?

Prevea Regional Services, Inc. is located at 2710 Executive Dr, Green Bay, WI 54304. The listed phone number is (920) 496-4700.

What is Prevea Regional Services, Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Prevea Regional Services, Inc. was last updated on September 10, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.