Daniel Brodkey OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

IA1635 Issued in IA

Legal business name

DANIEL BRODKEY OD PC

Practice address

5404 Morningside Ave
Sioux City, IA 51106-3136

Phone

(712) 274-2020

Fax

(712) 274-7095

NPI assigned

Sep 24, 2012

Organization subpart

No

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

Authorized official

Name

Daniel Louis Brodkey, ODNPI 1811997802

Title

Optometrist

Phone

(712) 274-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Daniel Louis Brodkey, O.D.

  • Optometrist
  • Sioux City, IA
  • NPI 1811997802

  4587785266

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel Louis Brodkey, O.D.

  • Optometrist
  • Sioux City, IA
  • NPI 1811997802

  IA

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392768000000",
    "number": "1982955571",
    "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": {
        "organization_name": "DANIEL BRODKEY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2014-02-19",
        "status": "A",
        "authorized_official_last_name": "BRODKEY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "712-274-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "IA1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Cunningham
• Curaquick
• Daniel R Curry, CRNA
• Ashlee K Dailey, FNP
• Samantha Dailey
• Daniel L Kaler DDS PC
• David H. Daniels, M.D.
• Danny L Whiting DDS PC
• Breanne Allen Danzi
• Lynda Darling, CADC

• 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 Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.