Individual provider Active NPI

William James Predun, MD

  • Internal Medicine Physician
  • Green Bay, WI
National Provider Identifier
1457856502
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
75630-20 Issued in WI
Practice address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone
(917) 593-8973
NPI assigned
Mar 29, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 75630-20 WI Primary

Addresses

Primary practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Mailing address

9825 Jordan Gateway
Sandy, UT 84070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, AZ, IN, OR4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20210917001755 WI Practitioner - HospitalistPractitioner - Internal Medicine 6103154554 Reassigns benefits to 1 organization
I20220418002372 AZ Practitioner - HospitalistPractitioner - Internal Medicine 6103154554 Reassigns benefits to 1 organization
I20230714001708 IN Practitioner - Internal Medicine 6103154554 Reassigns benefits to 1 organization
I20230724002607 OR Practitioner - Internal Medicine 6103154554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians

Practice addresses (Care Compare)

101 Civic Ctr LN
Lake Havasu City, AZ 86403-5607
Phone (928) 855-8185

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group Inc Internal Medicine CurrentSince Feb 15, 2022 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Apogee Medical Group Inc Internal Medicine CurrentSince Feb 15, 2022 Accepting new patients
Apogee Medical Group PC Internal Medicine Current Accepting new patients
Apogee Medical Group, Wisconsin, S.C Internal Medicine CurrentSince Jul 30, 2021 Accepting new patients
Apogee Medical Group PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Apogee Medical Group Indiana PC Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Apogee Medical Group, Michigan, PC Internal Medicine PastSince Oct 8, 2023 Accepting new patients
Kingman Healthcare, Inc Past Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

600 East Blvd
Elkhart, IN 46514
Phone (574) 294-2621

200 High Park Ave
Goshen, IN 46526
Phone (219) 533-2141

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

Interoperability endpoints

  • Direct secure messaging: evh5080@yourcarecommunity.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1457856502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 JORDAN GATEWAY",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "84070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 S WEBSTER AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543013505",
            "telephone_number": "917-593-8973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREDUN",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "75630-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.