NPIMap

Individual provider Active NPI

Bryce Jahnothan Braaksma, D.O.

  • Orthopaedic Surgery Physician
  • Pittsburgh, PA
National Provider Identifier
1033450622
Registry record updated Aug 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
OS019395 Issued in PA
Practice address
4815 Liberty Ave
Ste 250-252
Pittsburgh, PA 15224
Phone
(708) 747-4000
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X OS019395 PA Primary

Addresses

Primary practice location

4815 Liberty Ave
Ste 250-252
Pittsburgh, PA 15224

Mailing address

4815 Liberty Ave
Ste 250-252
Pittsburgh, PA 15224-2156
Phone (708) 747-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SD, IA3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180904002681 PA Practitioner - Orthopedic Surgery 2264727700 Reassigns benefits to 1 organization
I20190828001696 SD Practitioner - Orthopedic Surgery 2264727700 Reassigns benefits to 1 organization
I20191114002647 IA Practitioner - Orthopedic Surgery 2264727700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, shared by 52 NPIs, 957 clinicians

Practice addresses (Care Compare)

1101 9TH St SE
Sioux Center, IA 51250-2501
Phone (605) 504-1100

1200 1St Ave E
Spencer, IA 51301-4342

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

600 9TH Ave N
Sibley, IA 51249-1012
Phone (712) 754-2900

6100 S Louise Ave
Sioux Falls, SD 57108-6029

901 E Virgil Ave
Milbank, SD 57252-2124
Phone (605) 432-4538

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement100
Knee replacement171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan Current Accepting new patients
Avera McKennan Orthopaedic Surgery CurrentSince Oct 2, 2019 Accepting new patients
Allegheny Clinic CurrentSince Aug 2, 2018 Accepting new patients
Allegheny Clinic Orthopaedic Surgery CurrentSince Aug 2, 2018 Accepting new patients
Avera McKennan CurrentSince Sep 1, 2019 Accepting new patients
Allegheny Clinic Current Accepting new patients

Locations

826 N 8th St
Estherville, IA 51334
Phone (712) 362-2631

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

4815 Liberty Ave
Ste 250252
Pittsburgh, PA 15224
Phone (412) 361-2005

2027 Lebanon Church Rd
West Mifflin/Pleasant Hills, PA 15122
Phone (412) 655-8650

Interoperability endpoints

  • Direct secure messaging: bryce.braaksma@avera.sdhealthlink.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1033450622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "STE 250-252",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "708-747-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE",
            "address_2": "STE 250-252",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15224",
            "telephone_number": "708-747-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAKSMA",
        "first_name": "BRYCE",
        "middle_name": "JAHNOTHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "OS019395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.