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

Gary M Herdrich

Individual provider Family Medicine Physician · NPI 1215019047

Gary M Herdrich is a Family Practice in West Bend, Wisconsin. Graduated from University of Wisconsin School of Medicine in 1978, 48 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
48
Trained at
University of Wisconsin School of Medicine
Licensed in
WI
In the registry since
2006
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Practice location Address checks out

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone: (262) 334-3451
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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 22394 (WI)

Record details

NPI number1215019047
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESApril 1, 2013
Mailing address1700 W Paradise Dr, West Bend, WI 53095-9795

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 1978 (48 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in West Bend