Active NPI
Wound Management Consultants P.C.
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- License
- 036071509
- 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, 2016
- 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. Brad Dewall, M.D.
- Title
- Ceo
- Phone
- (563) 421-1586
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 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 DirectoryLocations
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.
-
- Vascular Surgery Physician
- Davenport, IA
- NPI 1740250026
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.