Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. James George Gullberg, PA-C

Individual provider Physician Assistant · NPI 1831713320

Mr. James George Gullberg, PA-C is a Physician Assistant in Eau Claire, Wisconsin. Qualified in 2021, 5 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

733 W Clairemont Ave
Eau Claire, WI 54701-6117
Phone: (715) 838-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10625 W North Ave Ste 101b, Wauwatosa, WI 53226-2315 — (414) 877-5350

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5519 (WI)

Record details

NPI number1831713320
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 1, 2020
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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