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CUSTOMIZED HEALTH CARE SERVICES, LLC
NPI 1962347641
Internal Medicine in Green Bay, WI

Active since April 21, 2026
108 PACKERLAND DR STE D1, GREEN BAY, WI 54303(920) 545-5109(920) 593-9159 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Customized Health Care Services, Llc NPPES

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

CUSTOMIZED HEALTH CARE SERVICES, LLC (NPI 1962347641) is a healthcare organization registered as an internal medicine in Green Bay, Wisconsin and active in the NPI registry since April 2026. The organization lists Brian Woodbridge, Owner, as its authorized official.

NPPES Registry Identity

NPI1962347641
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCUSTOMIZED HEALTH CARE SERVICES, LLC
Location Address108 PACKERLAND DR STE D1Green Bay, WI 54303-4862
Mailing Address108 Packerland Dr Ste D1Green Bay, WI 54303-4862 · (920) 545-5109 · Fax (920) 593-9159
Phone(920) 545-5109
Fax(920) 593-9159
Organization SubpartNo
Authorized OfficialBrian WoodbridgeOwner · (920) 545-5109
Enumeration DateApril 21, 2026
NPPES CertifiedApril 21, 2026
✔ NPI 1962347641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
108 PACKERLAND DR STE D1, Green Bay, WI 54303
Open in Google Maps ↗

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Customized Health Care Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Customized Health Care Services, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Brian Woodbridge, MD
Internal Medicine
NPI 1720055817
2253 W MASON ST
Green Bay, WI 54303
(920) 327-7300
✔ PECOS✔ Accepts Medicare1.1 mi
Paul Smullen, MD
Family Practice
NPI 1033234406
1020 MARQUETTE DR
Kewaunee, WI 54216
(920) 496-4700
✔ PECOS29 mi

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

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 Customized Health Care Services, LLC's NPI number?

The NPI number for Customized Health Care Services, LLC is 1962347641. It was assigned to this organization in the NPPES registry on April 21, 2026.

Where is Customized Health Care Services, LLC located?

Customized Health Care Services, LLC is located at 108 Packerland Dr Ste D1, Green Bay, WI 54303. The listed phone number is (920) 545-5109.

What is Customized Health Care Services, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Customized Health Care Services, LLC enrolled in Medicare?

Yes. Customized Health Care Services, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Customized Health Care Services, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Customized Health Care Services, LLC, in Family Practice and Internal Medicine. A 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 the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Customized Health Care Services, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Customized Health Care Services, 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 Customized Health Care Services, LLC was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.