Individual provider Active NPI

Bradley Theodore John Straka, MD

  • Dermatology Physician
  • Waukesha, WI
National Provider Identifier
1326031964
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
44600020 Issued in WI
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
34279600MedicaidWI
070017188OtherWIRAILROAD MEDICARE
070017187OtherWIRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000025 WI Practitioner - Dermatology 1254336340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highlander Dermatology LLCGroup PAC ID 5698051365, 6 clinicians

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 100Reported as group
Quality
94.7
Improvement activities
40
Cost
74

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision168
Removal of tissue1-10
Removal of skin lesions2163
Removal of skin cancer252
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy602

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44600020WIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highlander Dermatology LLC CurrentSince Mar 3, 2017 Accepting new patients
Affiliated Dermatologists SC Dermatology PastSince Jun 22, 2021 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.