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

Individual provider Family Medicine Physician · NPI 1619294576

Brandon E Boehm, MD is a Family Practice in Green Bay, Wisconsin. Graduated from Medical College of Wisconsin in 2010, 16 years ago. Practices with Green Bay Emergency Medicine Services SC, a 16-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3263 Eaton Rd
Green Bay, WI 54311-6830
Phone: (920) 433-6700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 57158-20 (WI)

Record details

NPI number1619294576
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 30, 2010
Last updated in NPPESJune 16, 2015
Mailing addressPo Box 22487, Green Bay, WI 54305-2487

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2010 (16 years in practice)
Group practice Green Bay Emergency Medicine Services Sc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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