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

Dr. Gordon Glenn Roedel, MD

Individual provider Orthopaedic Surgery Physician · NPI 1851812937

Dr. Gordon Glenn Roedel, MD is an Orthopedic Surgery in Green Bay, Wisconsin. Graduated from University of Wisconsin School of Medicine in 2017, 9 years ago. Practices with Orthopedic and Sports Medicine Specialists of Green Bay SC, a 51-clinician group and accepts Medicare assignment. Licensed in Nebraska and Wisconsin.

Years since qualifying
9
Trained at
University of Wisconsin School of Medicine
Licensed in
NE, WI
In the registry since
2017
Specialties on file
2
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

2223 Lime Kiln Rd Ste 1
Green Bay, WI 54311-6213
Phone: (920) 430-8113
Fax: (920) 430-8122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Reconstructive Orthopaedic Surgery Physician (primary) Taxonomy 207XS0114X · Licence 82150 (WI)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 8109 (NE)

Record details

NPI number1851812937
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESAugust 18, 2023
Certification dateAugust 18, 2023

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Orthopedic And Sports Medicine Specialists Of Green Bay Sc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay