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

Bianca M Shubert

Individual provider Emergency Medicine Physician · NPI 1669869061

Bianca M Shubert is an Emergency Medicine in Milwaukee, Wisconsin. Graduated from Medical College of Georgia School of Medicine in 2015, 11 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee and Wisconsin.

Years since qualifying
11
Trained at
Medical College of Georgia School of Medicine
Licensed in
TN, WI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

945 N 12th St
Milwaukee, WI 53233-1305
Phone: (414) 219-2000
Fax: (414) 219-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 975 E 3rd St, Chattanooga, TN 37403 — (423) 778-7000

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 72247 (WI)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD0000057436 (TN)

Record details

NPI number1669869061
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2015
Last updated in NPPESOctober 10, 2023
Certification dateOctober 10, 2023
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 2015 (11 years in practice)
Group practice The Southeast Permanente Medical Group — 826 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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