MEDICARE: DR. TED ARTHUR BONEBRAKE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	32655	IA

General Provider Information

NPI Number	:	1356788616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TED ARTHUR BONEBRAKE M.D.

Provider Business Mailing Address
First Line	:	3640 CANTERBURY CT STE B
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50702-5705
Country	:	US
Telephone Number	:	319-595-1181
Fax Number	:

Provider Business Practice Location Address
First Line	:	3640 CANTERBURY CT STE B
Second Line	:
City	:	WATERLOO
State	:	IA
Zip	:	50702-5705
Country	:	US
Telephone Number	:	319-595-1181
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	01/30/2023

Similar Medicare Providers

1932633609 — ACCESS EVALUATION AND EDUCATION SERVICES, L.L.C.
Practice Location Address:

3640 CANTERBURY CT
WATERLOO, IA
50702-5705

Practice Phone: 319-252-4631
Practice Fax:

1316467061 — AMY R BONEBRAKE LMSW, CADC, SAP
Practice Location Address:

3640 CANTERBURY CT
WATERLOO, IA
50702-5705

Practice Phone: 319-252-4631
Practice Fax: 319-252-4631

1073291902 — CLARISSA ROSALEE JOLLY TCADC
Practice Location Address:

3640 CANTERBURY CT
WATERLOO, IA
50702-5705

Practice Phone: 319-252-4631
Practice Fax: 319-209-9287

1760337331 — INTENTIONAL CHIROPRACTIC PC
Practice Location Address:

3640 CANTERBURY CT
WATERLOO, IA
50702-5705

Practice Phone: 641-780-4192
Practice Fax:

1477188860 — STACEY HOTH MA, MS,LMHC, NCC
Practice Location Address:

2205 FALLS AVE STE 1
WATERLOO, IA
50701-5705

Practice Phone: 319-209-5193
Practice Fax: 844-561-0881

1093912164 — ANDERSON SERVICES, LLC
Practice Location Address:

2201 FALLS AVE
WATERLOO, IA
50701-5705

Practice Phone: 319-287-8014
Practice Fax: 319-287-9486

Directions to “ DR. TED ARTHUR BONEBRAKE M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.