Brian Daniel Gerrelts, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

29250 Issued in IA

Practice address

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701-4588

Phone

(319) 833-5907

Fax

(319) 833-5908

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• People'S Memorial Hospital

  • Emergency Medicine Physician
  • Independence, IA
  • NPI 1336281245
  NPD
• People'S Memorial Hospital

  • Community/Retail Pharmacy
  • Oelwein, IA
  • NPI 1588274302
  NPD
• Sumner Community Club

  • Medicare Defined Swing Bed Hospital Unit
  • Sumner, IA
  • NPI 1366442295
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1003869397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-833-5907",
            "fax_number": "319-833-5908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "STE 107",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014588",
            "telephone_number": "319-833-5907",
            "fax_number": "319-833-5908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERRELTS",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "29250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1098236",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS PLA",
            "identifier": "42141730707",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "19243",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "brian.gerrelts@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1753 W Ridgeway Ave",
            "address_2": "Ste 107",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507014588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher Julian Gavarrete, D.D.S.
• Courtney Gay
• Annette Christine Geary, FNP-BC
• Tabetha Marie Gehrke, AGACNP
• Sara Geiger, LMSW
• Jayson Eric Gesme
• Keeran Ghandivel, MD
• Mohammed Ghanim, MD
• Shirley M Gibson
• Amanda Terryce Gidley, LISW

• Surgery Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.