DR. BRUCE J. ROBERTSON PHD
NPI 1396770434
Psychologist in Green Bay, WI
About Dr. Bruce J. Robertson Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BRUCE J. ROBERTSON PHD (NPI 1396770434) is an individual psychologist in Green Bay, Wisconsin, licensed in Wisconsin (1992-057) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1995).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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 (PECOS)
Dr. Bruce J. Robertson Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bruce Robertson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Green Bay, WI 54313
- Reassigned Medicare billing, Wisconsin enrollment
- 3 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.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GREEN BAY, WI 54313
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 Bruce Robertson's NPI number?
The NPI number for Bruce Robertson is 1396770434. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Bruce Robertson located?
Bruce Robertson practices at 2631 Packerland Dr Suite 104-C, Green Bay, WI 54313. The listed phone number is (920) 965-7701.
What is Bruce Robertson's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Bruce Robertson enrolled in Medicare?
Yes. Bruce Robertson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bruce Robertson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bruce Robertson reassigns Medicare benefits to Jacob's Well Counseling Center Inc (Green Bay, 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 Bruce Robertson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bruce Robertson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and UnitedHealthcare list Bruce Robertson 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 Bruce Robertson was last updated on September 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.