Active NPI
Gerald K Bayer, M.D.
- Medical Oncology Physician
- Green Bay, WI
National Provider Identifier
1285726729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 22282
- Practice address
- 835 S Van Buren St
Green Bay, WI 54301-3526 - Phone
- (920) 432-6049
- Fax
- (920) 884-3271
- NPI assigned
- Sep 29, 2006
- Last updated
- Jun 29, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 22282 | WI | Primary |
| Medical Oncology Physician | 207RX0202X | 4301051043 | MI |
Addresses
Primary practice location
835 S Van Buren St
Green Bay, WI 54301-3526
Mailing address
PO Box 13453
Green Bay, WI 54307-3453
Phone (920) 593-3745
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101793808 | Medicaid | MI | |
| 30278200 | Medicaid | WI | |
| GB051043 | Other | MI | BLUE CROSS BLUE SHIELD MI |
| 900002925 | Other | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301051043 | MI | MD | Medical Oncology Physician |
| 22282 | WI | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277769600000",
"number": "1285726729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13453",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543073453",
"telephone_number": "920-593-3745",
"fax_number": "920-884-3271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 S VAN BUREN ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013526",
"telephone_number": "920-432-6049",
"fax_number": "920-884-3271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAYER",
"first_name": "GERALD",
"middle_name": "K",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2010-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "WI",
"license": "22282",
"primary": true
},
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "MI",
"license": "4301051043",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101793808",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30278200",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MI",
"identifier": "GB051043",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "900002925",
"state": null
}
],
"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 Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.