NPIMap

Individual provider Active NPI

Bradley E Wilcox, DO

  • Pulmonary Disease Physician
  • Des Moines, IA
National Provider Identifier
1760401657
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DO-03941 Issued in IA
Practice address
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Phone
(515) 643-7900
Fax
(515) 643-7901
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 49087 MN
Pulmonary Disease Physician 207RP1001X 102479 MN
Pulmonary Disease Physician 207RP1001X DO-03941 IA Primary

Addresses

Primary practice location

411 Laurel St Ste A120
Des Moines, IA 50314-3027

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7900

Other identifiers 1

IdentifierTypeStateIssuer
841652000MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090616000540 IA Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 6800890187 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
Madison County Memorial HospitalGroup PAC ID 6002727179, shared by 5 NPIs, 42 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2610

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

1111 6TH Ave E Tower
Des Moines, IA 50314-2610

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240

2006 N 4TH St
Indianola, IA 50125-4500

300 W Hutchings St
Winterset, IA 50273-2109

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

411 Laurel St
Des Moines, IA 50314-3027

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Dallas County Hospital Hospital, Perry, IA, CCN 161322
  • Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Current Accepting new patients
Madison County Memorial Hospital CurrentSince Mar 28, 2024 Accepting new patients
Dallas County Hospital CurrentSince Feb 1, 2024 Accepting new patients
Dallas County Hospital Current Accepting new patients
Adair County Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Dallas County Hospital CurrentSince Feb 1, 2024 Accepting new patients
Madison County Memorial Hospital CurrentSince Mar 28, 2024 Accepting new patients
Adair County Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Mercy Clinics, Inc. Pulmonary Disease CurrentSince Jan 1, 2019 Accepting new patients
Madison County Memorial Hospital Current Accepting new patients
Adair County Memorial Hospital CurrentSince Mar 1, 2026 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

1601 NW 114th St
Ste 347
Des Moines, IA 50325
Phone (515) 222-7350

411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

610 10th St
Perry, IA 50220
Phone (515) 465-3547

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/madico-8e3b1615
  • Direct secure messaging: bradleywilcox@cicapc.allscriptsdirect.net
  • FHIR API: https://fhir-myrecord.cerner.com/r4/823d67d6-97c5-40a2-b084-56d06cb82099/
  • Direct secure messaging: bwilcox3169501@direct.trinity-health.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1760401657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-7900",
            "fax_number": "515-643-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143027",
            "telephone_number": "515-643-7900",
            "fax_number": "515-643-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILCOX",
        "first_name": "BRADLEY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "49087",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MN",
            "license": "102479",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "DO-03941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "841652000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.