Active NPI
Bradley Theodore John Straka, MD
- Dermatology Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 44600020
- Practice address
- 2607 N Grandview Blvd
Ste 125
Waukesha, WI 53188-1686 - Phone
- (414) 455-0919
- Fax
- (414) 455-0905
- NPI assigned
- Aug 30, 2005
- Last updated
- Sep 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 44600020 | WI | Primary |
Addresses
Primary practice location
2607 N Grandview Blvd
Ste 125
Waukesha, WI 53188-1686
Mailing address
2607 N Grandview Blvd
Ste 125
Waukesha, WI 53188-1686
Phone (262) 290-4540
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34279600 | Medicaid | WI | |
| 070017188 | Other | WI | RAILROAD MEDICARE |
| 070017187 | Other | WI | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16650 W Bluemound Rd
Suite 800
Brookfield, WI 53005-5970
Phone (262) 290-4540
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.08 of 100
- Quality
- 94.7
- Improvement activities
- 40
- Cost
- 74
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 168 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 2163 |
| Removal of skin cancer | 252 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 602 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44600020 | WI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlander Dermatology LLC | Current | Accepting new patients | |
| Affiliated Dermatologists SC | Dermatology | Past | Accepting new patients |
Locations
16650 W Bluemound Rd
Ste 800
Brookfield, WI 53005
Phone (262) 290-4540
5600 W Rawson Ave
Unit 104
Franklin, WI 53132
2607 N Grandview Blvd
Ste 125
Waukesha, WI 53188
Phone (262) 290-4540
Organizations & group practices 2
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.
-
- Medical Specialty Clinic/Center
- Brookfield, WI
- NPI 1790216554
-
- Dermatology Physician
- New Berlin, WI
- NPI 1194711853
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1326031964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2607 N GRANDVIEW BLVD",
"address_2": "STE 125",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881686",
"telephone_number": "262-290-4540",
"fax_number": "262-229-2220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2607 N GRANDVIEW BLVD",
"address_2": "STE 125",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531881686",
"telephone_number": "414-455-0919",
"fax_number": "414-455-0905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STRAKA",
"first_name": "BRADLEY",
"middle_name": "THEODORE JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WI",
"license": "44600020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34279600",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070017188",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070017187",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.