BRADLEY E WILCOX (NPI# 1760401657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760401657 |
| Entity Type | Individual |
| Full Name | BRADLEY E WILCOX |
| Credential | DO |
| Practice Address |
411 Laurel St Ste A120 Des Moines IA 50314-3027 |
| Mailing Address |
Po Box 1475 Des Moines IA 50305-1475 |
| Practice Telephone | 5152241777 |
| Practice Fax Number | 5152256750 |
| Mailing Telephone | 5152241777 |
| Mailing Fax Number | 5152256750 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
DO-03941 | IA | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
49087 | MN | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
102479 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 841652000 | 05 |
| Street Address |
411 LAUREL ST STE A120 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50314-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164408548 | Maxwell S Cosmic | Internal Medicine | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2005-12-19 |
| 1710502240 | Rebecca E Hutchinson | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2020-06-10 |
| 1972137487 | Lindsey Klunder | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2020-02-24 |
| 1679118756 | Laura Sampson | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-11-12 |
| 1205477684 | Jenny Mackrill | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-10-07 |
| 1336796663 | Andrew William Miller | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-08-21 |
| 1194384248 | Mackenzie Fullerton | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-06-12 |
| 1932672920 | Jillana Lynn Lefler | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2019-01-02 |
| 1003313750 | Rachael M. Doty | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2018-04-10 |
| 1831549047 | Sarah Springer | Nurse Practitioner | 411 Laurel St Ste A120, Des Moines, IA 50314-3027 | 2016-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982266979 | Dental Connections, Inc. | Dentist | 1111 9th Street, Suite 190, Des Moines, IA 50314 | 2019-07-01 |
| 1760910723 | Kelsey Taylor | Social Worker | 1761 Hickman Rd, Des Moines, IA 50314 | 2017-06-02 |
| 1184085672 | Allison J Robbins | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2016-03-11 |
| 1083081715 | Taylor Witzel | Specialist/Technologist | 450 Laurel Street, Des Moines, IA 50314 | 2015-08-28 |
| 1376893933 | Caring Hearts LLC | In Home Supportive Care | 1620 Pleasant, #245, Des Moines, IA 50314 | 2012-09-11 |
| 1104117522 | Akinbode Solomon Egbelakin | Pediatrics | 1111 6th Ave # Main3, Des Moines, IA 50314 | 2011-04-20 |
| 1447488325 | Abdelaziz Elhaddad | Internal Medicine | 95 University Avenue, Suite 1, Des Moines, IA 50314 | 2009-06-30 |
| 1356584080 | Tara Michelle Graff | Internal Medicine | 411 Laurel Street Suite A300, Des Moines, IA 50314 | 2009-04-10 |
| 1700068517 | Planned Parenthood of The Heartland | Family Medicine | 123 Clark Street, Des Moines, IA 50314 | 2007-12-04 |
| 1790903235 | Christy J. Meyer | Counselor | 1063 14th Place, Suite A, Des Moines, IA 50314 | 2007-04-22 |
| Find all providers in zip 50314 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508844317 | Donald L Burrows | Internal Medicine | 1601 Nw 114th St, Suite 347, Des Moines, IA 50325-7046 | 2006-01-03 |
| 1093700486 | Randall R Hanson | Internal Medicine | 1215 Pleasant St, Ste 200, Des Moines, IA 50309-1416 | 2005-09-13 |
| 1982696555 | Donald Ray Shumate | Internal Medicine | 3200 Grand Ave, Des Moines, IA 50312-4104 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| Find all providers with the same taxonomy | ||||
| City | DES MOINES |
| Zip Code | 50314 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.