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BRADLEY BALINT MD
NPI 1366820359
Pediatrics in Appleton, WI

Active since May 11, 2015PECOS Enrolled
2575 E EVERGREEN DR, APPLETON, WI 54913(920) 969-5353 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 18, 2025, Mar 30, 2021, Oct 30, 2019 and 1 more (4 updates tracked since 2019).

About Bradley Balint Md NPPES

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

BRADLEY BALINT MD (NPI 1366820359) is an individual pediatrics provider in Appleton, Wisconsin, licensed in Indiana (01082156A) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in South Bend.

NPPES Registry Identity

NPI1366820359
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRADLEY BALINTCredential: MD
Location Address2575 E EVERGREEN DRAppleton, WI 54913-8910
Mailing Address4855 S Moorland RdNew Berlin, WI 53151-7494
Phone(920) 969-5353
Sole ProprietorNo
Enumeration DateMay 11, 2015
Last NPPES UpdateSeptember 18, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 18, 2025
✔ NPI 1366820359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IN · 01082156A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
2575 E EVERGREEN DR, Appleton, WI 54913
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Secondary Practice Location 1

Location 1615 N Michigan St 5th FlSouth Bend, IN 46601-1033 · Phone (574) 647-7275 · Fax (574) 647-3696

Other Identifiers 1

Medicaid300026036IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley Balint Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Bradley Balint reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beacon Medical Group, Inc.
205 mi
Family Medicine
2235 CLEVELAND RD
South Bend, IN 46628
  • Reassigned Medicare billing, Indiana enrollment
  • 734 clinicians in this Medicare group
NPI 1588024624 (574) 647-4530

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54913 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

KALYN MAHONEY CPNP-AC
Nurse Practitioner
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBYN W LAURITSEN APNP
Nurse Practitioner (Family)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 404-2240
DR. DOUGLAS RANDAL ZABROWSKI M.D.
Pediatrics (Pediatric Gastroenterology)
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
JENNIFER A BLEVINS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
KENDALL LUCKEROTH OTR/L
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
EMILY TYMOS
Occupational Therapist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
ROBERT BECKER MD
Pediatrics
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (920) 969-5353
DR. OLIVIA MAE RIEMER AU.D.
Audiologist
2575 E EVERGREEN DR
APPLETON, WI 54913
Outagamie County (414) 266-2934

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 Balint's NPI number?

The NPI number for Bradley Balint is 1366820359. It was assigned to this individual provider in the NPPES registry on May 11, 2015.

Where is Bradley Balint located?

Bradley Balint practices at 2575 E Evergreen Dr, Appleton, WI 54913. The listed phone number is (920) 969-5353.

What is Bradley Balint's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bradley Balint enrolled in Medicare?

Yes. Bradley Balint is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Bradley Balint's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bradley Balint reassigns Medicare benefits to Beacon Medical Group, Inc. (South Bend, IN). 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 Bradley Balint's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Bradley Balint accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Bradley Balint 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 Balint was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.