BRADLEY T DEWALL MD
NPI 1255427597
Specialist in Le Claire, IA

Q: What is Bradley Dewall's NPI number?

The NPI number for Bradley Dewall is 1255427597. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Q: What is Bradley Dewall's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Bradley Dewall was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 05, 2006

21985 277TH AVE, LE CLAIRE, IA 52753(563) 508-6330 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2019, Mar 17, 2018, Jul 28, 2017 (3 updates tracked since 2017).

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About Bradley T Dewall Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRADLEY T DEWALL MD (NPI 1255427597) is an individual specialist in Le Claire, Iowa, licensed in Iowa (21364) and active in the NPI registry since October 2006. He maintains a secondary practice location in Davenport.

NPPES Registry Identity

NPI1255427597

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameBRADLEY T DEWALLCredential: MD

Location Address21985 277TH AVELe Claire, IA 52753

Mailing Address2543 Tech DrBettendorf, IA 52722-3263 · (635) 086-3305

Phone(563) 508-6330

Sole ProprietorYes

Enumeration DateOctober 5, 2006

Last NPPES UpdateJune 21, 20193 updates tracked since enumeration

✔ NPI 1255427597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IA · 21364

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

21985 277TH AVE, Le Claire, IA 52753

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Secondary Practice Location 1

Location 11351 W Central Park Ave Ste 1225Davenport, IA 52804-1889 · Phone (563) 421-1585 · Fax (563) 421-1595

Other Identifiers 1

Other24004Wellmark Of Ia

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bradley Dewall's NPI number?

The NPI number for Bradley Dewall is 1255427597. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Bradley Dewall located?

Bradley Dewall practices at 21985 277th Ave, Le Claire, IA 52753. The listed phone number is (563) 508-6330.

What is Bradley Dewall's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Bradley Dewall was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.