Active NPI
David Bandomir, RN
- Registered Nurse
- Milwaukee, WI
National Provider Identifier
1871420711
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 143137-30
- Practice address
- 2900 W Oklahoma Ave
Milwaukee, WI 53215-4330 - Phone
- (414) 649-6000
- NPI assigned
- May 5, 2026
- Last updated
- May 5, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 143137-30 | WI | Primary |
Addresses
Primary practice location
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Mailing address
707 Shady LN
Oconomowoc, WI 53066-4174
Phone (414) 646-6079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143137-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777939200000",
"number": "1871420711",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 SHADY LN",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530664174",
"telephone_number": "414-646-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 W OKLAHOMA AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532154330",
"telephone_number": "414-649-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDOMIR",
"first_name": "DAVID",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-05-05",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "143137-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.