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BRADI MICHAEL PETER KIPPER PA-C
NPI 1184904567
Physician Assistant in Bettendorf, IA

Active since August 17, 2011PECOS Enrolled
2300 53RD AVE, SUITE 100, BETTENDORF, IA 52722(563) 322-0971(563) 324-0615 Get Directions Write a Review

NPPES record last updated: November 14, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bradi Michael Peter Kipper Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADI MICHAEL PETER KIPPER PA-C (NPI 1184904567) is an individual physician assistant in Bettendorf, Iowa, licensed in Iowa (002217) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184904567
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBRADI MICHAEL PETER KIPPERCredential: PA-C
Location Address2300 53RD AVE, SUITE 100Bettendorf, IA 52722-7564
Mailing Address2300 53rd Ave, Suite 100Bettendorf, IA 52722-7564 · (563) 322-0971 · Fax (563) 324-0615
Phone(563) 322-0971
Fax(563) 324-0615
Sole ProprietorNo
Enumeration DateAugust 17, 2011
Last NPPES UpdateNovember 14, 2011
✔ NPI 1184904567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IA · 002217✔ Licensed in IL · 085004237
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2300 53RD AVE, Bettendorf, IA 52722
Open in Google Maps ↗

Other Identifiers 1

Other578210014IA · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradi Michael Peter Kipper Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52722 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAY J RICHARD PT
Physical Therapist
2300 53RD AVE, SUITE LL02
BETTENDORF, IA 52722
Scott County (563) 332-4422
MICHAEL SHAW PT
Physical Therapist
2300 53RD AVE
BETTENDORF, IA 52722
Scott County (563) 332-4422
JOSEPH G MARTIN M.D.
Orthopaedic Surgery
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722
Scott County (563) 322-0971
MARY JO RUSSELL PA-C
Physician Assistant
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722
Scott County (563) 322-0971
GENORTHO, LLC
Clinic/Center (Ambulatory Surgical)
2300 53RD AVE, SUITE 200
BETTENDORF, IA 52722
Scott County (563) 449-8988
KYLE A MERTEN DPT
Physical Therapist
2300 53RD AVE, SUITE LL02
BETTENDORF, IA 52722
Scott County (563) 449-7000
RACHEL PAULSEN DPT
Physical Therapist
2300 53RD AVE, LL02
BETTENDORF, IA 52722
Scott County (563) 449-7000
SUSAN G FREBURG ARNP
Nurse Practitioner (Adult Health)
2300 53RD AVE, SUITE 100
BETTENDORF, IA 52722
Scott County (563) 322-0971

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradi Kipper's NPI number?

The NPI number for Bradi Kipper is 1184904567. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Bradi Kipper located?

Bradi Kipper practices at 2300 53rd Ave Suite 100, Bettendorf, IA 52722. The listed phone number is (563) 322-0971.

What is Bradi Kipper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Bradi Kipper enrolled in Medicare?

Yes. Bradi Kipper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bradi Kipper was last updated on November 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.