Organization Active NPI

Wound Management Consultants P.C.

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Davenport, IA
National Provider Identifier
1972831410
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
License
036071509 Issued in IA
Legal business name
WOUND MANAGEMENT CONSULTANTS P.C.
Practice address
1351 W Central Park Ave
Suite 1225
Davenport, IA 52804-1853
Phone
(563) 421-1586
NPI assigned
Nov 20, 2009
Last updated
Mar 15, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Authorized official

Name
Dr. Brad Dewall, M.D.
Title
Ceo
Phone
(563) 421-1586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X 036071509 IA Primary

Addresses

Primary practice location

1351 W Central Park Ave
Suite 1225
Davenport, IA 52804-1853

Mailing address

1351 W Central Park Ave
Suite 1225
Davenport, IA 52804-1853
Phone (563) 421-1586

National Provider Directory

National Provider Directory

Locations

1351 W Central Park Ave
Ste 1225
Davenport, IA 52804
Phone (563) 421-1585

2700 Linwood Ct
Davenport, IA 52806
Phone (563) 386-3011

3900 28th Avenue Dr
Ste 115
Moline, IL 61265
Phone (309) 281-2220

1314 10th St
Ste C
Silvis, IL 61282
Phone (309) 281-2220

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1972831410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "SUITE 1225",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-421-1586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 W CENTRAL PARK AVE",
            "address_2": "SUITE 1225",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041853",
            "telephone_number": "563-421-1586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND MANAGEMENT CONSULTANTS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "DEWALL",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "563-421-1586",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "IA",
            "license": "036071509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.