BRENT WOLFORD (NPI# 1942567243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942567243 |
| Entity Type | Individual |
| Full Name | BRENT WOLFORD |
| Credential | M.D. |
| Practice Address |
12368 Stratford Dr Ste 300 Clive IA 50325-8149 |
| Mailing Address |
4200 University Avenue Ste 104 Clive IA 50266 |
| Practice Telephone | 5152268408 |
| Practice Fax Number | 5152268408 |
| Mailing Telephone | (515) 961-0453 |
| Mailing Fax Number | 5159612714 |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2017-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD-44322 | IA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538496914 | Brent Wolford | Pharmacist | 1488 Kapiolani Blvd, Honolulu, HI 96814-3716 | 2009-11-05 |
| Street Address |
12368 STRATFORD DR STE 300 |
| City | CLIVE |
| State | IA |
| Zip Code | 50325-8149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700867835 | Alan Barth Stone | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2005-11-07 |
| 1184062283 | David Bradley Magill | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2013-06-11 |
| 1891089868 | Paul Allan Jabour | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325 | 2011-06-07 |
| 1417187246 | Ryan L Holdsworth | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2009-07-14 |
| 1154529444 | Nicholas L Hilpipre | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2007-07-07 |
| 1871799395 | Brett C Richardson | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2007-06-22 |
| 1811956303 | James J Choi | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449446 | Clive Behavioral Health LLC | Psychiatric Hospital | 1500 Nw 114th St, Clive, IA 50325 | 2020-05-21 |
| 1609426519 | Caroline Silva Pereira Lara Ribeiro | Occupational Therapist | 15500 Boston Parkway, Appt 110, Clive, IA 50325 | 2019-09-13 |
| 1487203873 | Karen Turnure | Technician | 4524 Nw 16th St, Clive, IA 50325 | 2019-09-09 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1700288834 | Lindsey White | Chiropractor | 12931 University Ave, Suite 103, Clive, IA 50325 | 2014-09-19 |
| 1811337389 | Metro West Learning Center, LLC | Counselor | 13300 Hickman Rd Ste 110, Clive, IA 50325 | 2013-06-28 |
| 1700110343 | Rodolfo Mallorca Legislador Sr. | Family Medicine | 1665 Nw 97th St., Clive, IA 50325 | 2009-09-30 |
| 1891961900 | Erin Ducharme | Dermatology | 16349 Sheridan Drive, Suite 101, Clive, IA 50325 | 2008-05-08 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1164623393 | Melisa Coaker | Internal Medicine | 1275 Nw 128th St, Ste 200, Clive, IA 50325 | 2007-05-28 |
| Find all providers in zip 50325 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895962 | James H Jacobs Jr. | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2006-01-10 |
| 1700867835 | Alan Barth Stone | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2005-11-07 |
| 1558363945 | Debra Ann Kimball | Radiology | 2380 Nw 152nd St, Clive, IA 50325-4514 | 2005-08-15 |
| 1184062283 | David Bradley Magill | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2013-06-11 |
| 1891089868 | Paul Allan Jabour | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325 | 2011-06-07 |
| 1609008515 | Rory Ryan Karibo | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2009-08-12 |
| 1417187246 | Ryan L Holdsworth | Radiology | 12368 Stratford Dr Ste 300, Clive, IA 50325-8149 | 2009-07-14 |
| 1225279136 | Richard Ryan Menzel | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2009-03-23 |
| 1023272069 | Aaron Christopher Hurlbut | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2008-07-17 |
| 1689846008 | Christopher Scott Waddell | Radiology | 12368 Stratford Dr, Suite 300, Clive, IA 50325-8162 | 2008-03-26 |
| Find all providers in CLIVE | ||||
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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.