NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Bradley J Boettcher, CRNA

Certified Registered Nurse Anesthetist in Green Bay, WI · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295906675

Verified

See something wrong? Report a correction

Registry record

Entity type Individual (Type 1)
Name Bradley J Boettcher
Credential CRNA
Sex Male
Practice address 744 S Webster Ave, Green Bay, WI, 54301
Fax (920) 445-7289
Enumeration date Mar 13, 2008
Last updated in NPPES Nov 1, 2018

Taxonomy & licenses

367500000X Certified Registered Nurse Anesthetist Physician Assistants & Advanced Practice Nursing Providers · License 3411 (WI) Primary
163W00000X Registered Nurse Nursing Service Providers · License 141347 (WI) Secondary
CRNA · Certified Registered Nurse Anesthetist: An advanced practice nurse specializing in anesthesia care. About the CRNA credential

Other identifiers

Identifier Type State Issuer
141347 Other WI RN SECONDARY WI STATE LICENSE
3411 Other WI WI STATE LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Bradley Boettcher practice?
The practice location on file with NPPES is in Green Bay, WI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Bradley Boettcher?
The National Provider Identifier (NPI) for Bradley Boettcher is 1295906675, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-11-01.