Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bradi Michael Peter Kipper, PA-C

Individual provider Physician Assistant · NPI 1184904567

Bradi Michael Peter Kipper, PA-C is a Physician Assistant in Bettendorf, Iowa. Licensed in Iowa and Illinois. Registered with an NPI since 2011.

Licensed in
IA, IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2300 53rd Ave Ste 100
Bettendorf, IA 52722-7564
Phone: (563) 322-0971
Fax: (563) 324-0615
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 002217 (IA)
Physician Assistant Taxonomy 363A00000X · Licence 085004237 (IL)

Record details

NPI number1184904567
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2011
Last updated in NPPESNovember 14, 2011
Mailing address2300 53rd Ave, Suite 100, Bettendorf, IA 52722-7564

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