Brant David Wommack, MD
NPI 1023164613ActiveIndividual· Radiology, Diagnostic Radiology· Bend, OR
Radiology, Diagnostic Radiology (MD) in Bend, Oregon, trained at University of Louisville School of Medicine (class of 2004). Medicare paid $166,461 for services to 1,997 patients in 2024.
Overview
| NPI | 1023164613 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Mar 2, 2023 |
| Certified by provider | Mar 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | MD151046 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,997 |
|---|---|
| Services billed | 7,015 across 172 procedure codes |
| Paid by Medicare | $166,461 |
Education and affiliations
| Medical school | University of Louisville School of Medicine |
|---|---|
| Graduation year | 2004 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- St Charles Health System IncBend, OR · 377 clinicians
- Bend Memorial Clinic PCBend, OR · 221 clinicians
- Lake Health DistrictLakeview, OR · 56 clinicians
- Central Oregon Radiology Assoc PCBend, OR · 45 clinicians
- Cascade Medical Imaging LLCBend, OR · 42 clinicians
- Central Oregon Magnetic Resonance Imaging LLCRedmond, OR · 36 clinicians
Hospital affiliations
- Blue Mountain HospitalJohn Day, OR
- Harney District HospitalBurns, OR
- St Charles Medical Center - BendBend, OR
- St Charles Medical Center PrinevillePrineville, OR
- Wallowa Memorial HospitalEnterprise, OR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 67 diagnostic radiologists in Bend · All diagnostic radiologists in Oregon