Bradford Wisnousky, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

3300 Issued in IA

Practice address

701 10TH St SE
Cedar Rapids, IA 52403-1251

Phone

(319) 398-6297

Fax

(319) 398-6249

NPI assigned

Apr 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Linn County Emergency Medicine PCGroup PAC ID 9830089275, 35 clinicians

Johnson County Emergency Medicine PLCGroup PAC ID 6901231810, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
• University of Iowa Health Care Medical Center Down Hospital, Iowa City, IA, CCN 160029

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Johnson County Emergency Medicine, PLC

  • Emergency Medicine Physician
  • Iowa City, IA
  • NPI 1316582729
  Medicare reassignment Care Compare group NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Cedar Rapids, IA
  • NPI 1679521124
  Medicare reassignment Care Compare group NPD
• Washington County Hospital

  • Family Medicine Physician
  • Kalona, IA
  • NPI 1235985003
  Medicare reassignment NPD
• Linn County Emergency Medicine PC

  • Emergency Medicine Physician
  • Hiawatha, IA
  • NPI 1275151003
  NPD
• Washington County Hospital

  • Emergency Medicine Physician
  • Washington, IA
  • NPI 1366656530
  NPD

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

• Mercy Medical Center

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1720029333
  Care Compare affiliation
• State University of Iowa

  • General Acute Care Hospital
  • Iowa City, IA
  • NPI 1699541870
  Care Compare affiliation

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1093777500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5610",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524065610",
            "telephone_number": "319-369-4505",
            "fax_number": "319-369-4677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 10TH ST SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031251",
            "telephone_number": "319-398-6297",
            "fax_number": "319-398-6249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISNOUSKY",
        "first_name": "BRADFORD",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214858",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Wingert, MA, LMHCT
• Winslow Clinic PLLC
• Christine M Winter-Rundell, O.D., FCOVD
• Kenneth Winter
• Ashton Wisneski
• Timothy Witalka, M.D.
• Jami Witbeck, MSN, ARNP, PMHNP
• Rachel Witmer, D.P. T.
• Witwer Center, Inc.
• Trey Wodke

• Emergency Medicine Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Emergency Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.