NPIMap

Individual provider Active NPI

Charles Brent Wakefield II, MD

  • Urology Physician
  • Omaha, NE
National Provider Identifier
1215151543
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
5286 Issued in NE
Practice address
10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone
(402) 397-7989
Fax
(402) 393-7554
NPI assigned
Apr 11, 2007
Last updated
Apr 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 5286 NE Primary

Addresses

Primary practice location

10707 Pacific St
Suite 101
Omaha, NE 68114-4762

Mailing address

PO Box 8577
Omaha, NE 68108-0577
Phone (402) 397-7989

Other names 1

  • Dr. C. Brent Wakefield II Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20110829000421 NE Practitioner - Urology 7012187123 Reassigns benefits to 2 organizations
I20110907001458 IA Practitioner - Urology 7012187123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Nebraska College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center PCGroup PAC ID 2961396833, shared by 4 NPIs, 43 clinicians

Practice addresses (Care Compare)

10707 Pacific St
Suite 101
Omaha, NE 68114-4762
Phone (402) 397-7989

3434 W Broadway
102 Urohealth Partners
Council Bluffs, IA 51501-3291
Phone (712) 325-0014

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5286NEMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Center, PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Urology Center PC Urology CurrentSince Jul 1, 2025 Accepting new patients
Adult & Pediatric Urology, PC Urology CurrentSince Aug 4, 2011 Accepting new patients
Urology Center PC Urology CurrentSince Aug 4, 2011 Accepting new patients

Locations

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

3434 W Broadway
Ste 102
Council Bluffs, IA 51501
Phone (712) 325-0014

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

3772 43rd Ave
Ste A
Columbus, NE 68601
Phone (402) 563-3686

2735 N Clarkson St
Fremont, NE 68025
Phone (402) 727-5000

450 E 23rd St
Fremont, NE 68025
Phone (402) 721-1610

10707 Pacific St
Ste 101
Omaha, NE 68114
Phone (402) 397-9800

111 S 90th St
Omaha, NE 68114
Phone (402) 397-7178

Interoperability endpoints

  • Direct secure messaging: cbrent.wakefield.p1@direct.tuc.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/7144/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1215151543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8577",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681080577",
            "telephone_number": "402-397-7989",
            "fax_number": "402-397-8703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 PACIFIC ST",
            "address_2": "SUITE 101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144762",
            "telephone_number": "402-397-7989",
            "fax_number": "402-393-7554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "CHARLES",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NE",
            "license": "5286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "C.",
            "last_name": "WAKEFIELD",
            "middle_name": "BRENT",
            "prefix": "DR.",
            "suffix": "II",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.