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DR. BRANT DAVID WOMMACK MD NPI 1023164613


NPI Information

NPI: 1023164613
Provider Name: DR. BRANT DAVID WOMMACK, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: CASCADE MEDICAL IMAGING LLC

PECOS Registration: Yes

Address:
1460 NE MEDICAL CTR DR
BEND, OR
ZIP 97701
Phone: (541) 382-6633
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DR. Brant David Wommack, MD is a diagnostic radiology radiology in Bend, OR with 20 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.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • X-ray of abdomen, single view (HCPCS:74000)

The enumeration date for this NPI number is 1/26/2007 and was last updated on 10/20/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyMD151046OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.