Individual provider Active NPI

William Gear, PHD, LAT, ATC

  • Athletic Trainer
  • Green Bay, WI
National Provider Identifier
1023190204
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2184-39 Issued in WI
Practice address
2420 Nicolet Dr Dept of
Green Bay, WI 54311-7003
Phone
(920) 465-2266
NPI assigned
Oct 19, 2006
Last updated
Feb 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 2184-39 WI Primary

Addresses

Primary practice location

2420 Nicolet Dr Dept of
Green Bay, WI 54311-7003

Mailing address

165 Lau St
Green Bay, WI 54302-3445
Phone (920) 465-2266

Other practice location 1

1216 Ordean Ct
112 SpHC
Duluth, MN 55812-3032
Phone (218) 726-8654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2184-39WIMDAthletic Trainer

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1023190204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LAU ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543023445",
            "telephone_number": "920-465-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 NICOLET DR DEPT OF",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543117003",
            "telephone_number": "920-465-2266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 Ordean Ct",
            "address_2": "112 SpHC",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558123032",
            "country_code": "US",
            "telephone_number": "218-726-8654",
            "fax_number": "218-726-6243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GEAR",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "PHD, LAT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WI",
            "license": "2184-39",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.