Active NPI
Qualcomp Preferred Medical Consultants.PC
- Primary Care Clinic/Center
- Muncie, IN
National Provider Identifier
1124154331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 01047723A
- Legal business name
- QUALCOMP PREFERRED MEDICAL CONSULTANTS.PC
- Practice address
- 2401 W University Ave
Muncie, IN 47303-3428 - Phone
- (765) 747-3111
- NPI assigned
- Feb 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wail Bakdash, MD
- Title
- President
- Phone
- (765) 208-0823
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 01047723A | IN | Primary |
Addresses
Primary practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
10341 Aurora CT
Fishers, IN 46038-5510
Phone (765) 208-0823
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1124154331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10341 AURORA CT",
"city": "FISHERS",
"state": "IN",
"postal_code": "460385510",
"telephone_number": "765-208-0823",
"fax_number": "765-298-4980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 W UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "473033428",
"telephone_number": "765-747-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALCOMP PREFERRED MEDICAL CONSULTANTS.PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BAKDASH",
"authorized_official_first_name": "WAIL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "765-208-0823",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "IN",
"license": "01047723A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.