BRADLEY ALLEN LOCKE D.O.
NPI 1336300276
Pediatrics - Pediatric Allergy/Immunology in Green Bay, WI
About Bradley Allen Locke D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRADLEY ALLEN LOCKE D.O. (NPI 1336300276) is an individual pediatric allergy/immunology provider in Green Bay, Wisconsin, licensed in Wisconsin (55834-020) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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
Bradley Allen Locke D.o. 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.
Medicare Billing Reassignments
3Medicare enrollment records show Bradley Locke reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Green Bay, WI 54304
- Reassigned Medicare billing, Wisconsin enrollment
- 742 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 673 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Locke's NPI number?
The NPI number for Bradley Locke is 1336300276. It was assigned to this individual provider in the NPPES registry on June 23, 2008.
Where is Bradley Locke located?
Bradley Locke practices at 2793 Lineville Rd, Green Bay, WI 54313. The listed phone number is (920) 496-4700.
What is Bradley Locke's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.
Is Bradley Locke enrolled in Medicare?
Yes. Bradley Locke 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 organizations bill Medicare for Bradley Locke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Locke reassigns Medicare benefits to 3 organizations: St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI), St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). Each 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 Bradley Locke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bradley Locke accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health and Security Health Plan list Bradley Locke as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Bradley Locke was last updated on August 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Bradley Allen Locke, D.O. · NPI 1336300276
Pediatric Allergy/Immunology physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since June 23, 2008.
## Identity
- **NPI:** 1336300276 (Entity type: Individual)
- **Enumerated:** June 23, 2008
- **Primary specialty:** Pediatrics - Pediatric Allergy/Immunology · taxonomy 2080P0201X
- **State license:** 55834-020 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2793 LINEVILLE RD, Green Bay, WI 54313-7152
- **Phone:** (920) 496-4700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (NPI 1285613638, Green Bay, WI); St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (NPI 1275799413, Sheboygan, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** August 5, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1336300276) · Data from the CMS NPPES public registry.