BETTENDORF PEDIATRIC GROUP NPI 1942562467

NPI Information

  • NPI: 1942562467
  • Provider Name: BETTENDORF PEDIATRIC GROUP
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 4017 DEVILS GLEN RD
    SUITE 200
    BETTENDORF, IA
    ZIP 52722
  • Phone: (563) 332-3400

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NPI Details

BETTENDORF PEDIATRIC GROUP is a family medicine in Bettendorf, IA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BETTENDORF PEDIATRIC GROUP NPI is 1942562467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4017 DEVILS GLEN RD
SUITE 200
BETTENDORF, IA
ZIP 52722-259
Phone: (563) 332-3400
Fax: (563) 332-4784

The provider's authorized official is Pomilla Kumar .
The authorized official title is Owner and has the following contact phone number (563) 332-3400.

The enumeration date for this NPI number is 6/11/2012 and was last updated on 6/11/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsNo
2207Q00000XFamily MedicineYes

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: 11/21/2025

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