Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Bradley B Waller, MD

Individual provider Family Medicine Physician · NPI 1609433796

Dr. Bradley B Waller, MD is a Family Practice in Maquoketa, Iowa. Graduated from Saint Louis University School of Medicine in 2019, 7 years ago. Practices with Maquoketa Family Clinic, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
7
Trained at
Saint Louis University School of Medicine
Licensed in
IA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

206 N Arcade St
Maquoketa, IA 52060-2022
Phone: (563) 652-6711
Fax: (563) 652-6715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1801 Hickman Rd, Des Moines, IA 50314-1505 — (515) 282-5640

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R-11492 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 47781 (IA)

Record details

NPI number1609433796
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2019
Last updated in NPPESMarch 6, 2024
Certification dateMarch 6, 2024
Mailing address206 N Arcade St, Maquoketa, IA 52060-2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Maquoketa Family Clinic — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Maquoketa