1. Home
  2. Directory
  3. Wisconsin
  4. Green Bay
  5. Nurse Practitioner
  6. NPI Profile

BELLEVUE TOTAL HEALTH, SC
NPI 1447203013
Nurse Practitioner - Occupational Health in Green Bay, WI

Active since May 18, 2006
2763 MANITOWOC RD, STE B, GREEN BAY, WI 54311(920) 468-8288(920) 468-9887 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Bellevue Total Health, Sc NPPES

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

BELLEVUE TOTAL HEALTH, SC (NPI 1447203013) is a healthcare organization registered as an occupational health in Green Bay, Wisconsin and active in the NPI registry since May 2006. The organization lists Bradley J Kenny, Owner/chiropractor, as its authorized official.

NPPES Registry Identity

NPI1447203013
Entity TypeOrganization
Primary Taxonomy363LX0106X
Legal Business NameBELLEVUE TOTAL HEALTH, SC
Location Address2763 MANITOWOC RD, STE BGreen Bay, WI 54311-6633
Mailing Address2763 Manitowoc Rd, Ste BGreen Bay, WI 54311-6633 · (920) 468-8288 · Fax (920) 468-9887
Phone(920) 468-8288
Fax(920) 468-9887
Organization SubpartNo
Authorized OfficialBradley J KennyOwner/chiropractor · (920) 468-8288
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1447203013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Occupational HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0106X
License✔ Licensed in WI · 1221-033
Also ListedChiropractorTaxonomy 111N00000X · License 2502-012 (WI), 4214-012 (WI)
Also ListedInternal MedicineTaxonomy 207R00000X · License 25884-020 (WI)
2763 MANITOWOC RD, Green Bay, WI 54311
Open in Google Maps ↗

Other Identifiers 2

Medicaid21250700WI
Medicaid39002800WI

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 5

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

AMY JO HAVERKORN PTA
Physical Therapy Assistant
2763 MANITOWOC RD, SUITE B
GREEN BAY, WI 54311
Brown County (920) 468-8288
REJAUNNE M KUBIK P.T.
Physical Therapist
2763 MANITOWOC RD, STE B
GREEN BAY, WI 54311
Brown County (920) 468-8288
MELINDA C HEIMERL PTA
Physical Therapy Assistant
2763 MANITOWOC RD, STE B
GREEN BAY, WI 54311
Brown County (920) 468-8288
LINDSEY CHARLES KROUTH PTA
Physical Therapy Assistant
2763 MANITOWOC RD, STE B
GREEN BAY, WI 54311
Brown County (920) 468-8288
DR. THOMAS JOSEPH LEONARD M.D.
Internal Medicine
2763 MANITOWOC RD, SUITE B
GREEN BAY, WI 54311
Brown County (920) 468-8288

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 Bellevue Total Health, Sc's NPI number?

The NPI number for Bellevue Total Health, Sc is 1447203013. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Bellevue Total Health, Sc located?

Bellevue Total Health, Sc is located at 2763 Manitowoc Rd Ste B, Green Bay, WI 54311. The listed phone number is (920) 468-8288.

What is Bellevue Total Health, Sc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Occupational Health, with taxonomy code 363LX0106X.

When was this NPI record last updated?

The NPPES record for Bellevue Total Health, Sc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.