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MEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
NPI 1912650607
General Practice in De Pere, WI

Active since February 02, 2022
2020 INNOVATION CT, DE PERE, WI 54115(920) 661-4215(920) 661-4277 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Medexpress Primary Care Wisconsin, S.c. NPPES

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

MEDEXPRESS PRIMARY CARE WISCONSIN, S.C. (NPI 1912650607), doing business as The Well - Green Bay, is a healthcare organization registered as a general practice in De Pere, Wisconsin and active in the NPI registry since February 2022. The organization lists Brett Gall, Director Of Payor Contracting, as its authorized official.

NPPES Registry Identity

NPI1912650607
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMEDEXPRESS PRIMARY CARE WISCONSIN, S.C.
Location Address2020 INNOVATION CTDe Pere, WI 54115-6009
Mailing Address1001 Consol Energy DrCanonsburg, PA 15317-6506 · (304) 225-2500 · Fax (724) 743-1133
Phone(920) 661-4215
Fax(920) 661-4277
Organization SubpartNo
Authorized OfficialBrett GallDirector Of Payor Contracting · (304) 225-2500
Enumeration DateFebruary 2, 2022
NPPES CertifiedFebruary 2, 2022
✔ NPI 1912650607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2020 INNOVATION CT, De Pere, WI 54115
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Other Names 1

Doing Business AsThe Well - Green Bay

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

OPTUM BEHAVIORAL CARE OF COLORADO, P.C.
Social Worker (Clinical)
2020 INNOVATION CT
DE PERE, WI 54115
Brown County (877) 622-0013

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 Medexpress Primary Care Wisconsin, S.C.'s NPI number?

The NPI number for Medexpress Primary Care Wisconsin, S.C. is 1912650607. It was assigned to this organization in the NPPES registry on February 2, 2022. The provider is doing business as The Well - Green Bay.

Where is Medexpress Primary Care Wisconsin, S.C. located?

Medexpress Primary Care Wisconsin, S.C. is located at 2020 Innovation Ct, De Pere, WI 54115. The listed phone number is (920) 661-4215.

What is Medexpress Primary Care Wisconsin, S.C.'s specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Medexpress Primary Care Wisconsin, S.C. was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.