BRADLEY S BOETTCHER MD
NPI 1487666947
Family Medicine in Wisconsin Rapids, WI

Q: What is Bradley Boettcher's NPI number?

The NPI number for Bradley Boettcher is 1487666947. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Q: What is Bradley Boettcher's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Boettcher was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 13, 2006PECOS Enrolled

2031 PEACH ST, WISCONSIN RAPIDS, WI 54494(715) 423-0122 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Bradley S Boettcher Md NPPES

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

BRADLEY S BOETTCHER MD (NPI 1487666947) is an individual family medicine provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (31272) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487666947

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRADLEY S BOETTCHERCredential: MD

Location Address2031 PEACH STWisconsin Rapids, WI 54494-5181

Mailing Address2031 Peach StWisconsin Rapids, WI 54494-5181 · (715) 423-0122

Phone(715) 423-0122

Sole ProprietorNo

Enumeration DateAugust 13, 2006

Last NPPES UpdateDecember 4, 2012

✔ NPI 1487666947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 31272

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2031 PEACH ST, Wisconsin Rapids, WI 54494

Open in Google Maps ↗

Other Identifiers 4

Medicare OSCAR/certification000203003WI

Medicaid31647300WI

Medicare ID-Type Unspecified000837005WI

Medicare UPINE59973WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bradley S Boettcher Md 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 54494 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Leave this field empty

Other Providers at the Same Location NPPES 20

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

SHEE-CHANG TANG MD

Family Medicine