DR. BRADLEY M FIDELER


Address: N2950 State Road 67, Lake Geneva, WI 53147-2655
Phone: 2622450535

DR. BRADLEY M FIDELER (NPI# 1629153077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629153077
Entity Type Individual
Full Name DR. BRADLEY M FIDELER
Credential MD
Practice Address N2950 State Road 67
Lake Geneva
WI 53147-2655
Practice Telephone 2622450535
Mailing Telephone 2622450535
Enumeration Date 2006-10-26
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
36125 WI Allopathic & Osteopathic Physicians
N 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WI 32141800 05

Office Location

Street Address N2950 STATE ROAD 67
City LAKE GENEVA
State WI
Zip Code 53147-2655

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386631281 Shweta Pearlstein Anesthesiology N2950 State Road 67, Lake Geneva, WI 53147-2655 2005-10-05
1154928547 Jessica M Grubb Occupational Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2020-10-08
1063072650 Madalyn R Douglas Physical Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2019-06-17
1013421908 Ashley E. Boro Occupational Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-11-30
1447776950 Stefanie N Droese Physical Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-08-16
1427573773 Andrea M. Lysaght Registered Nurse N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-08-08
1265956288 Kyle C. Janicke Physical Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-08-01
1164952891 Carling M. Johns Physical Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-06-15
1730615030 Deborah Lynn Young Registered Nurse N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-05-04
1386180255 Shelly M Weis Physical Therapist N2950 State Road 67, Lake Geneva, WI 53147-2655 2017-01-16
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356951206 Emily Tanis Physical Therapist 6722 Wi-50, Lake Geneva, WI 53147 2020-08-05
1588295653 Baylee M Noe Occupational Therapy Assistant Sage Meadow of Lake Geneva 6722 Wi-50, Lake Geneva, WI 53147 2020-01-28
1124539556 Roxanne Weber Registered Nurse 146 E. Geneva Square, Lake Geneva, WI 53147 2017-10-12
1386969400 Emily Kathleen Wilczak Surgery N2950 Wi-67, Lake Geneva, WI 53147 2010-03-31
1538294020 Dale Alan Miller Pharmacist 2950 St. Hwy. 67, Lake Geneva, WI 53147 2007-02-23
1689779902 Balistreri & Associates Physical Therapy Physical Therapist 902 Wells Street, Lake Geneva, WI 53147 2006-09-13
1336157981 Nestor C Alabarca Internal Medicine 146 E Geneva Square, Lake Geneva, WI 53147 2006-08-03
1144259375 Kim M. Cuculi Occupational Therapist 800 Geneva Pkwy N Ste 3, Lake Geneva, WI 53147 2006-07-01
1396253571 Amar Y. Patel Family Medicine 146 E Geneva Sq, Lake Geneva, WI 53147 2018-01-22
1679017925 Christina L. Clancy Nurse Practitioner 146 E Geneva Sq, Lake Geneva, WI 53147 2016-12-06
Find all providers in zip 53147

Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013938463 James L Knavel Orthopaedic Surgery 352 Peller Rd, Lake Geneva, WI 53147-4543 2006-07-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1902850696 Bone & Joint Clinic S.c. Orthopaedic Surgery 225000 Hummingbird Rd, Ste 100, Wausau, WI 54401-6312 2006-05-19
1053310474 David James Siverhus Orthopaedic Surgery 2500 N Mayfair Rd, Suite 670, Milwaukee, WI 53226-1409 2005-07-18
1922453398 Orthopaedic Centers of Wisconsin S.c. Orthopaedic Surgery 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 2016-05-04
1174977433 Orthopaedic Centers of Wisconsin, S.c. Orthopaedic Surgery 3200 Westhill Dr Ste 201, Wausau, WI 54401-4707 2016-04-22
1427476969 Michael Derek Vaughn Orthopaedic Surgery 1970 S Ridge Rd, Green Bay, WI 54304-4125 2014-04-02
1104262682 Jasmine Bauknight Orthopaedic Surgery 1715 Dousman St, Green Bay, WI 54303-3211 2013-05-10
1154664100 Dayton M Opel Orthopaedic Surgery 1821 S Stoughton Rd, Madison, WI 53716-2257 2013-03-28
1194088567 Kristin Tompkins Mizerik Orthopaedic Surgery 4602 Eastpark Blvd, Madison, WI 53718-2002 2012-06-20
1881919892 David William Meister Orthopaedic Surgery 525 W River Woods Pkwy, Suite 230, Glendale, WI 53212-1024 2010-04-01
1013173384 Scott Remo Murch Orthopaedic Surgery 3200 Westhill Dr, Suite 201, Wausau, WI 54401-4705 2008-08-05
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Competitor

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City LAKE GENEVA
Zip Code 53147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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