Daniel Louis Brodkey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1635 Issued in IA

Practice address

5404 Morningside Ave
Sioux City, IA 51106-3136

Phone

(712) 274-2020

Fax

(712) 274-7095

NPI assigned

Jul 31, 2005

Reactivated

Mar 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Daniel Brodkey OD PC

  • Optometrist
  • Sioux City, IA
  • NPI 1982955571

  4587785266

  Same PAC ID

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Daniel Brodkey OD PC

  • Optometrist
  • Sioux City, IA
  • NPI 1982955571

  IA

  Medicare reassignment Authorized official
• John C. Sparks Jr. MD

  • Orthopaedic Surgery Physician
  • Conroe, TX
  • NPI 1952682312
  NPD

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

{
    "created_epoch": "1122768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196640000000",
    "number": "1811997802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5404 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063136",
            "telephone_number": "712-274-2020",
            "fax_number": "712-274-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5404 MORNINGSIDE AVE",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511063136",
            "telephone_number": "712-274-2020",
            "fax_number": "712-274-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODKEY",
        "first_name": "DANIEL",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-31",
        "last_updated": "2007-12-03",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146670",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn M Bricker, FNP
• Ronald William Brinck, M.D.
• Juliet Emerald Brinkman, ARNP
• Thomas Brockhaus, CRNA
• Jeremy James Brodersen, O.D.
• Austyn Brouillette, LMSW
• Cynthia Brown
• Kallee Louann Brown
• Kemi Regina Brown, LMSW
• Rhonda Jane Brown, LMHC

• All providers in Sioux City, IA
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.

Verify at the official NPI Registry.