DR. CHAD DAVID LISTROM M.D. NPI 1063487130

NPI Details

DR. Chad David Listrom, M.D. is an emergency medicine in Fort Bragg, NC with 24 years of experience. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Chad David Listrom, M.D. NPI is 1063487130. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:2001

The provider's business location address is:

2817 REILLY RD
WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC
ZIP 28310-324
Phone: (910) 907-8922
Fax: (910) 907-6069

The NPI 1063487130 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.

• Emergency department visit for life threatening or functioning severity (HCPCS:99285)
• Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
• Emergency department visit for problem of high severity (HCPCS:99284)
• Critical care, first 30-74 minutes (HCPCS:99291)
• Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services (HCPCS:93798)
• Outpatient heart rehabilitation, qualified health care professional services (HCPCS:93797)
• Emergency department visit for problem of moderate severity (HCPCS:99283)

The enumeration date for this NPI number is 2/21/2006 and was last updated on 7/8/2007.

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: