DR. BRANT DAVID WOMMACK MD NPI 1023164613

NPI Details

DR. Brant David Wommack, MD is a diagnostic radiology radiology in Bend, OR with 22 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Brant David Wommack, MD NPI is 1023164613. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

1460 NE MEDICAL CTR DR
BEND, OR
ZIP 97701-061
Phone: (541) 382-6633
Fax: (541) 382-2719

The NPI 1023164613 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection, gadobutrol, 0.1 ml (HCPCS:A9585)
• Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml (HCPCS:Q9967)
• Screening 3d breast mammography (HCPCS:77063)
• Screening mammography (HCPCS:77067)
• Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) (HCPCS:G0279)
• Diagnostic mammography of 1 breast (HCPCS:77065)
• Limited ultrasound scan of 1 breast (HCPCS:76642)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• X-ray of chest, 2 views (HCPCS:71046)
• Dxa bone density measurement of forearm, finger, hand, or foot (HCPCS:77081)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of chest, 1 view (HCPCS:71045)
• Ct scan head or brain without contrast (HCPCS:70450)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Dxa bone density measurement of hip, pelvis, spine including spine fracture assessment (HCPCS:77085)
• Diagnostic mammography of both breasts (HCPCS:77066)
• Mri scan of leg joint without contrast (HCPCS:73721)
• X-ray of chest, 2 views (HCPCS:71046)
• Screening mammography (HCPCS:77067)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Screening 3d breast mammography (HCPCS:77063)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ct scan of upper spine without contrast (HCPCS:72125)
• Ct scan of leg without contrast (HCPCS:73700)
• Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
• X-ray of knee, 3 views (HCPCS:73562)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Mri scan of leg joint without contrast (HCPCS:73721)
• X-ray of wrist, minimum of 3 views (HCPCS:73110)
• Ct scan of blood vessels of head with contrast (HCPCS:70496)
• Ct scan of blood vessels of neck with contrast (HCPCS:70498)
• X-ray of hand, minimum of 3 views (HCPCS:73130)
• Mri scan of arm joint without contrast (HCPCS:73221)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• X-ray of shoulder, minimum of 2 views (HCPCS:73030)
• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• X-ray of abdomen, 1 view (HCPCS:74018)
• X-ray of hip, 2-3 views (HCPCS:73502)
• Limited ultrasound scan of abdomen (HCPCS:76705)
• X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
• Mri scan of brain without contrast (HCPCS:70551)
• Biopsy of breast and placement of locating device using ultrasound, first growth (HCPCS:19083)
• Biopsy of breast and placement of locating device using x-ray with needle, first growth (HCPCS:19081)

The enumeration date for this NPI number is 1/26/2007 and was last updated on 3/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: