Bradley N. Lemke MD, SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20222 Issued in WI

Legal business name

BRADLEY N. LEMKE MD, SC

Practice address

804 Liberty Blvd Ste 206
Sun Prairie, WI 53590-4643

Phone

(608) 829-7777

Fax

(608) 829-7778

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Bradley Nathaniel Lemke, M.D.

Title

Owner

Phone

(608) 829-7777

Specialties & licenses 1

Addresses

Other names 1

• Lemke Facial Surgery Doing business as

Locations

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1891986527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 LIBERTY BLVD STE 206",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904643",
            "telephone_number": "608-829-7777",
            "fax_number": "608-829-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 LIBERTY BLVD STE 206",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904643",
            "telephone_number": "608-829-7777",
            "fax_number": "608-829-7778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3865 N Mulford Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611145603",
            "country_code": "US",
            "telephone_number": "608-829-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549012025",
            "country_code": "US",
            "telephone_number": "608-829-7777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2929 McFarland Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611076809",
            "country_code": "US",
            "telephone_number": "608-829-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BRADLEY N. LEMKE MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "LEMKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "NATHANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-829-7777",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "20222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lemke Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lemke Facial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Sun Prairie, WI
• Providers in Sun Prairie, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.