BRAD SANDLEBACK MD
NPI 1902806698
Emergency Medicine - Emergency Medical Services in Appleton, WI
NPI Status: Active since July 26, 2005
Contact Information
1818 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (800) 968-6866
- Individual
- Male
- Emergency Medicine
- Emergency Medical Services
About BRAD SANDLEBACK
This page provides the complete NPI Profile along with additional information for Brad Sandleback, a provider established in Appleton, Wisconsin with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1902806698 assigned on July 2005. The practitioner's primary taxonomy code is 207PE0004X with license number 42493 (WI). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1902806698
- Provider Name
- BRAD SANDLEBACK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1818 N MEADE ST APPLETON, WI 54911
- Location Phone
- (800) 968-6866
- Mailing Address
- PO BOX 88215 MILWAUKEE, WI 53288
- Mailing Phone
- (800) 968-6866
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2005
- Last Update Date
- 04-20-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine Emergency Medical Services
- Taxonomy Code
- 207PE0004X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 42493
- License State
- WI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207P00000X | Allopathic & Osteopathic Physicians | Emergency Medicine | 42493 (WI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G23009 | MEDICARE UPIN (02) | WI | |
| 34026100 | MEDICAID (05) | WI | |
| $$$$$$$$$905 | OTHER (01) | WI | BCBS |
| 0007 | MEDICARE ID-TYPE UNSPECIFIED (04) | WI |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1902806698, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 62 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
APPLETON, WI 54911
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902806698, enumerated as an "individual" on July 26, 2005.
The provider is located at 1818 N MEADE ST APPLETON, WI 54911 and the phone number is (800) 968-6866.
Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.