BRAD SANDLEBACK MD
NPI 1902806698
Emergency Medicine - Emergency Medical Services in Appleton, WI

Q: What is Brad Sandleback's NPI number?

The NPI number for Brad Sandleback is 1902806698. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Brad Sandleback's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Brad Sandleback was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 July 26, 2005

1818 N MEADE ST, APPLETON, WI 54911(800) 968-6866 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Brad Sandleback Md NPPES

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

BRAD SANDLEBACK MD (NPI 1902806698) is an individual emergency medical services provider in Appleton, Wisconsin, licensed in Wisconsin (42493) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1902806698

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameBRAD SANDLEBACKCredential: MD

Location Address1818 N MEADE STAppleton, WI 54911-3454

Mailing AddressPo Box 88215Milwaukee, WI 53288-0001 · (800) 968-6866

Phone(800) 968-6866

Sole ProprietorNo

Enumeration DateJuly 26, 2005

Last NPPES UpdateApril 20, 2008

✔ NPI 1902806698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in WI · 42493

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 42493 (WI)

1818 N MEADE ST, Appleton, WI 54911

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Other Identifiers 4

Medicare UPING23009WI

Medicaid34026100WI

Other$$$$$$$$$905WI · Bcbs

Medicare ID-Type Unspecified0007WI

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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 Brad Sandleback's NPI number?

The NPI number for Brad Sandleback is 1902806698. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Where is Brad Sandleback located?

Brad Sandleback practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (800) 968-6866.

What is Brad Sandleback's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Brad Sandleback was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.