Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alan Barta

Individual provider Physician Assistant · NPI 1548930340

Alan Barta is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2021, 5 years ago. Practices with Froedtert South Inc, a 156-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2021
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Practice location Address checks out

1160 Kepler Dr
Green Bay, WI 54311-8321
Phone: (920) 490-9046
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5563-23 (WI)

Record details

NPI number1548930340
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 14, 2021
Last updated in NPPESMarch 22, 2022
Certification dateMarch 22, 2022
Mailing addressPo Box 28900, Green Bay, WI 54324-0900

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay