BRADI MICHAEL PETER KIPPER PA-C NPI 1184904567

NPI Information

  • NPI: 1184904567
  • Provider Name: BRADI MICHAEL PETER KIPPER, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2300 53RD AVE
    SUITE 100
    BETTENDORF, IA
    ZIP 52722
  • Phone: (563) 322-0971

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NPI Details

Bradi Michael Peter Kipper, PA-C is a physician assistant in Bettendorf, IA. The provider is 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. Bradi Michael Peter Kipper, PA-C NPI is 1184904567. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2300 53RD AVE
SUITE 100
BETTENDORF, IA
ZIP 52722-564
Phone: (563) 322-0971
Fax: (563) 324-0615

The NPI 1184904567 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg (HCPCS:J7325)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Aspiration and/or injection of fluid from large joint (HCPCS:20610)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Replacement of knee joint, both sides of knee (HCPCS:27447)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Prosthetic repair of shoulder joint, total shoulder (HCPCS:23472)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)

The enumeration date for this NPI number is 8/17/2011 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant085004237ILLINOISNo
2363A00000XPhysician Assistant002217IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1578210014OTHERIOWAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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