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

Bryan Roberts, MD

Individual provider Family Medicine Physician · NPI 1275929010

Bryan Roberts, MD is a Family Practice in Menasha, Wisconsin. Graduated from Medical College of Wisconsin in 2015, 11 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
11
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2015
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

2005 Midway Rd
Menasha, WI 54952
Phone: (920) 832-8500
Fax: (920) 380-4840
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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 66817-20 (WI)

Record details

NPI number1275929010
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 8, 2015
Last updated in NPPESJune 29, 2018
Mailing address229 S Morrison St, Appleton, WI 54911-5725

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2015 (11 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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