Brant David Wommack in Bend - Diagnostic Radiology
Brant David Wommack - NPI 1023164613
Brant David Wommack is a Diagnostic Radiology in Bend, Oregon. Brant David Wommack practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Brant David Wommack is 1023164613. The last update date is 2023-03-02.
Brant David Wommack's current location address is 1460 Ne Medical Ctr Dr, Bend, Oregon. You can contact this provider via phone number 5413826633 and fax number 5413822719. The mailing address for Brant David Wommack is 1460 Ne Medical Ctr Dr, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brant David Wommack |
|---|---|
| Address | 1460 Ne Medical Ctr Dr, Bend, Oregon |
| Phone Number | 5413826633 |
| Fax Number | 5413822719 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023164613 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2023-03-02 |
Provider Mailing Address Detail
| Address | 1460 Ne Medical Ctr Dr |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977016061 |
| Phone Number | 5413826633 |
| Fax Number | 5413822719 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | MD151046 |
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Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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Post Comment/ Review Below
What is the unique identifier code issued to Brant David Wommack by the Centers for Medicare & Medicaid Services?
The Brant David Wommack has been assigned the NPI (National Provider Identifier) 1023164613. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Brant David Wommack is geographically located?
The Brant David Wommack is physically situated at the following location: 1460 Ne Medical Ctr Dr, Bend, OR, 977016061.
What is Brant David Wommack's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brant David Wommack is Diagnostic Radiology, and the corresponding taxonomy classification code for this specialized field is 2085R0202X.
On what date did the Brant David Wommack receive the assignment of its 1023164613 from the Centers for Medicare & Medicaid Services?
The Brant David Wommack was issued its 1023164613 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date were the Brant David Wommack's details last updated?
The information pertaining to the Brant David Wommack, including its address, specialty, and other details, was most recently updated on 2023-03-02.