NPIMap

Individual provider Active NPI

Bradford P Walker, OD

  • Optometrist
  • Richland Center, WI
National Provider Identifier
1598718348
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2526-035 Issued in WI
Practice address
165 W Haseltine St
Richland Center, WI 53581-2552
Phone
(608) 647-8995
Fax
(608) 647-2569
NPI assigned
May 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2526-035 WI Primary

Addresses

Primary practice location

165 W Haseltine St
Richland Center, WI 53581-2552

Mailing address

165 W Haseltine St
Richland Center, WI 53581-2552
Phone (608) 647-8995

Other identifiers 1

IdentifierTypeStateIssuer
1598718348MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 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
I20100220000218 WI Practitioner - Optometry 9830233444 Reassigns benefits to 1 organization
I20240327001550 MI Practitioner - Optometry 9830233444 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

N10561 Grandview LN
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10561 Granview LN
Grand View Hospital
Ironwood, MI 49938-9622
Phone (906) 932-2525

N10565 Grand View Lane
Ironwood, MI 49938-9622

N10565 Grandview Lane
Ironwood, MI 49938-9622

N10565 Grandview LN Aspirus Ironwood
Ironwood, MI 49938-9622
Phone (715) 843-1067

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2526-035WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Gundersen Clinic LTD CurrentSince Oct 13, 2016 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. Optometrist CurrentSince Apr 1, 2024 Accepting new patients
Gundersen Lutheran Express Care, Inc CurrentSince Oct 13, 2016 Accepting new patients

Locations

235 8th Ave W
Cresco, IA 52136
Phone (319) 547-2101

29980 Network Pl
Chicago, IL 60673

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

610 E Taylor St
Prairie du Chien, WI 53821
Phone (608) 326-6466

165 W Haseltine St
Richland Center, WI 53581
Phone (608) 647-8995

Interoperability endpoints

  • Direct secure messaging: bwalker216270@direct.aspirus.org
  • Direct secure messaging: bwalker222401@direct.emplifyhealth.org

Organizations & group practices 6

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.

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": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452729600000",
    "number": "1598718348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W HASELTINE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812552",
            "telephone_number": "608-647-8995",
            "fax_number": "608-647-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W HASELTINE ST",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535812552",
            "telephone_number": "608-647-8995",
            "fax_number": "608-647-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "BRADFORD",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2016-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2526-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598718348",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland Center, WI

Sources for this page

Verify at the official NPI Registry.