Richard S Bratkiewicz, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22221 Issued in IA

Practice address

4713 Brookview Dr
West Des Moines, IA 50265-2997

Phone

(515) 225-6548

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Emcare Physician Providers Inc.

  • Emergency Medicine Physician
  • Osceola, IA
  • NPI 1740291087
  NPD (past)
• Mercy Medical Center-Centerville

  • Emergency Care Clinic/Center
  • Centerville, IA
  • NPI 1528018801
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1093887184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 BROOKVIEW DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652997",
            "telephone_number": "515-225-6548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4713 BROOKVIEW DR",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652997",
            "telephone_number": "515-225-6548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATKIEWICZ",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "22221",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IA",
            "license": "22221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110095637",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209932",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1209932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Bradley
• Laura Brady
• Brandi Van Meter Lac LLC
• Jessica Brase
• K Linda Bratkiewicz, D.P.M.
• Jacqueline Carole Bratt
• Norbel Auxiliadora Brautigam, PA-C
• Kaitlyn Sierra Bravek
• Bravo Care Transportation LLC
• Molly Beth Brecht

• General Practice Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• General Practice Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.