Active NPI
Vituity-Iowa PLLC
- Emergency Medicine Physician
- Bettendorf, IA
National Provider Identifier
1871378752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- VITUITY-IOWA PLLC
- Practice address
- 2140 53Rd Ave
Bettendorf, IA 52722-6279 - Phone
- (563) 421-5700
- NPI assigned
- Aug 29, 2023
- 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
- David Birdsall, MD
- Title
- President
- Phone
- (510) 350-2759
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
2140 53Rd Ave
Bettendorf, IA 52722-6279
Mailing address
1601 Cummins Dr Ste D
Modesto, CA 95358-6411
Phone (510) 350-2600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 78
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- NPI 1205373610
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- NPI 1821401506
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- Emergency Medicine Physician
- Davenport, IA
- NPI 1043839160
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- Physician Assistant
- Davenport, IA
- NPI 1952992240
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- Emergency Medicine Physician
- Davenport, IA
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- Physician Assistant
- Davenport, IA
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698105600000",
"number": "1871378752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 CUMMINS DR STE D",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586411",
"telephone_number": "510-350-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 53RD AVE",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527226279",
"telephone_number": "563-421-5700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VITUITY-IOWA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-29",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A",
"authorized_official_last_name": "BIRDSALL",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-350-2759",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.