NPI 1023164613

Brant David Wommack, MD

Practitioner Diagnostic Radiology Physician Bend, OR

Practice location

Address: 1460 NE Medical Ctr Dr, Bend, OR 97701-6061
Phone: (541) 382-6633
Fax: (541) 382-2719

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence MD151046 (OR)

Other Radiology providers in Oregon →

Registry record

NPI: 1023164613
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Jan 2007
Record last updated: 2 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.