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GBR SHEBOYGAN LLC
NPI 1467529917
Radiology - Diagnostic Radiology in Sheboygan, WI

Active since November 29, 2006
3100 SUPERIOR AVE, SHEBOYGAN, WI 53081(920) 964-0480(920) 336-8093 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Mar 5, 2024 (2 updates tracked since 2024).

About Gbr Sheboygan Llc NPPES

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

GBR SHEBOYGAN LLC (NPI 1467529917) is a healthcare organization registered as a diagnostic radiology in Sheboygan, Wisconsin and active in the NPI registry since November 2006. The organization lists Jimmy Dado, Director Of Revenue Cycle, as its authorized official.

NPPES Registry Identity

NPI1467529917
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameGBR SHEBOYGAN LLC
Location Address3100 SUPERIOR AVESheboygan, WI 53081-1948
Mailing Address2941 S Ridge RdGreen Bay, WI 54304-5517 · (920) 336-4096 · Fax (920) 336-8093
Phone(920) 964-0480
Fax(920) 336-8093
Organization SubpartNo
Authorized OfficialJimmy DadoDirector Of Revenue Cycle · (614) 325-8899
Enumeration DateNovember 29, 2006
Last NPPES UpdateMay 29, 20262 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1467529917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X
3100 SUPERIOR AVE, Sheboygan, WI 53081
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Other Identifiers 1

Medicaid21284500WI

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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.

MATTHEW TIMOTHY CONNOLLY M.D.
Anesthesiology
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-1261
GURMINDER DHILLON MD
Internal Medicine (Pulmonary Disease)
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
DR. PEDRO ARTHUR MACEDO DE FREITAS MD
Hospitalist
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
MUNIBA CHOHAN
Internal Medicine
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
KATIE GESCH D.O., M.S.
Family Medicine
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
WILLIAM G WAGNER, MD, SC
Radiology (Vascular & Interventional Radiology)
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 451-8142
JENNIFER L THICKENS APNP-BC
Nurse Practitioner (Family)
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
DR. BRYAN STUART WICHMAN M.D.
Anesthesiology
3100 SUPERIOR AVE
SHEBOYGAN, WI 53081
Sheboygan County (920) 783-1261

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 Gbr Sheboygan LLC's NPI number?

The NPI number for Gbr Sheboygan LLC is 1467529917. It was assigned to this organization in the NPPES registry on November 29, 2006.

Where is Gbr Sheboygan LLC located?

Gbr Sheboygan LLC is located at 3100 Superior Ave, Sheboygan, WI 53081. The listed phone number is (920) 964-0480.

What is Gbr Sheboygan LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Gbr Sheboygan LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Gbr Sheboygan LLC 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 Gbr Sheboygan LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.