DUGLAS J BRONDYKE (PT) – Physical Therapist, NPI 1699761643

DUGLAS J BRONDYKE (PT) is a healthcare provider. based in Moline, Illinois. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 070004020 (IL). The NPI Number for DUGLAS J BRONDYKE (PT) is 1699761643

Main info

Male
43 Years Of Experience
Accepts Medicare Assignment
Name
DUGLAS J BRONDYKE (PT)
NPI
1699761643
Phone
(309) 743-2070
Address
850 43RD AVE
Enumeration Date
26 September 2005
Last Update Date
17 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633220971
Graduation Year
1983 (43 years ago)
PAC ID
5496791147
Group Practice PAC ID
6406741784
Professional Enrollment ID
I20100922000860
Address ID
IA527227565BE2300XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness85
Years active:20State licenses:2Digital endpointsOther names

1,303 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IA

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Provider Addresses for DUGLAS J BRONDYKE (PT)

  • 850, 43rd Avenue, Moline, Rock Island County, Illinois, 61265, United States

    SUITE 100

    MOLINE, IL 612658401

    Phone: (309) 743-2070

    Fax: (309) 743-2073

    Type: Mailing

  • 931, 13th Avenue North, Clinton, Clinton County, Iowa, 52732, United States

    ROCK VALLEY PHYSICAL THERAPY

    CLINTON, IA 527325072

    Phone: (563) 243-7814

    Fax: (563) 243-2441

    Type: Location

  • 5250 Competition Dr Ste 100

    Bettendorf, IA 527228837

    Phone: (563) 322-0971

    Type: Location

  • 6101 Northwest Blvd

    Davenport, IA 528061861

    Phone: (563) 449-7004

    Type: Location

  • 2300 53rd Ave Ste Ll02

    Bettendorf, IA 527227565

    Phone: (563) 449-7000

    Type: Location

  • 2300 53RD AVE STE 100

    BETTENDORF, IA 527227565

    Phone: (563) 322-0971

    Type: Mailing

  • 5250 COMPETITION DR STE 100

    BETTENDORF, IA 527228837

    Phone: (563) 322-0971

    Type: Mailing

  • 2900 S 25TH ST STE B2

    CLINTON, IA 527327250

    Phone: (563) 278-8830

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100922000860IPhysical Therapist In Private PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes2,198106$0
97530Therapy procedure using functional activities72892$0
97140Therapy procedure using manual technique, each 15 minutes55764$0
97161Evaluation for physical therapy, typically 20 minutes9076$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4313$0
View full utilization report →

Insurance plans in this area (ZIP 61265)

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Provider's Procedures

DUGLAS J BRONDYKE (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYIA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes53572

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406741784View full group profile
NameSpecialtyState
-MI
Orthopedic SurgeryIA
-SC
Physical Therapist In Private PracticeIA
-IA
Orthopedic SurgeryIL
Physical Therapist In Private PracticeIA
Orthopedic SurgeryIA
Physician AssistantIA
Orthopedic SurgeryIL

Reviews

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Frequently asked questions

Can I cross-check DUGLAS J BRONDYKE (PT) using NPI 1699761643?
NPI 1699761643 belongs to DUGLAS J BRONDYKE (PT); compare other details if you need extra assurance.
Would DUGLAS J BRONDYKE (PT) appear as active to a payer?
You can treat DUGLAS J BRONDYKE (PT) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DUGLAS J BRONDYKE (PT)?
DUGLAS J BRONDYKE (PT)'s record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DUGLAS J BRONDYKE (PT) associated with Moline?
Public fields place DUGLAS J BRONDYKE (PT) around Moline, Illinois. Always confirm the exact site before visiting.
What does 8 location(s) imply?
8 practice locations appear in the available data.

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