Don Bradke, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

LL817 Issued in FL

Practice address

2355 Stanford CT Unit 701
Naples, FL 34112-4813

Phone

(239) 566-7425

Fax

(239) 593-3430

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Community Hospital of Bremen, Inc.

  • Internal Medicine Physician
  • Bremen, IN
  • NPI 1902017080

  Emergency Medicine

  NPD (past)
• Diane M. Mackie & Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Bremen, IN
  • NPI 1376525303
  NPD (past)
• Honeywell Emergency Physicians

  • Emergency Medicine Physician
  • Wabash, IN
  • NPI 1770741522
  NPD (past)
• Nes Indiana, Inc.

  • Emergency Medicine Physician
  • Logansport, IN
  • NPI 1265413686
  NPD (past)
• Preferred Emergency Physicians

  • Emergency Medicine Physician
  • Portland, IN
  • NPI 1457302077
  NPD (past)
• Reddy Pop Emergency Physicians

  • Emergency Medicine Physician
  • Brazil, IN
  • NPI 1922233592
  NPD (past)
• Saint Joseph Regional Medical Center- Plymouth Campus Inc

  dba Saint Joseph Foot and Ankle Sports Medicine Institute Plymouth

  • Family Medicine Physician
  • Plymouth, IN
  • NPI 1538585187

  Internal Medicine

  NPD (past)
• Winamac Emergency Physicians LLC

  • Emergency Medicine Physician
  • Winamac, IN
  • NPI 1033363353
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1922016799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 STANFORD CT UNIT 701",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124813",
            "telephone_number": "239-566-7425",
            "fax_number": "239-593-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 STANFORD CT UNIT 701",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341124813",
            "telephone_number": "239-566-7425",
            "fax_number": "239-593-3430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "IN",
            "postal_code": "465639366",
            "country_code": "US",
            "telephone_number": "574-936-3181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRADKE",
        "first_name": "DON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "IN",
            "license": "01051351",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01051351A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "LL817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000625951",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000602173",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200247510",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas L Boynton, MD
• Thomas James Boysen, D.P.M.
• Bracho Dental Solutions LLC
• Robert Bracho, D.D.S.
• Gail Marie Braden, ARNP
• Bradley Allred Medical Supply LLC
• Bradley T. Piotrowski, DDS, MSD, LLC
• Bennie Bradner, PT, DPT
• Barbara J Brady, RN
• Bobbi Georgia Brady, M.D.

• Internal Medicine Physician in Naples, FL
• Providers in Naples, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.