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

Robert Becker, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417510652

Robert Becker, MD is a Gastroenterology in Appleton, Wisconsin. Graduated from Medical College of Wisconsin in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
7
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2019
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

2575 E Evergreen Dr
Appleton, WI 54913-8910
Phone: (920) 969-5353
Fax: (414) 337-7201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 77484-20 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417510652
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 14, 2019
Last updated in NPPESJune 20, 2025
Certification dateJune 20, 2025
Mailing address2575 E Evergreen Dr, Appleton, WI 54913-8910

Medicare enrollment

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

Medicare specialtyGASTROENTEROLOGY
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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