Individual provider Active NPI

Brian Leo Loc, D.O.

  • Cardiovascular Disease Physician
  • Dubuque, IA
National Provider Identifier
1033599691
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO-06021 Issued in IA
Practice address
1000 Langworthy St
Dubuque, IA 52001-7313
Phone
(563) 584-3425
Fax
(563) 584-3497
NPI assigned
Jun 8, 2015
Last updated
Jun 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DO-06021 IA Primary

Addresses

Primary practice location

1000 Langworthy St
Dubuque, IA 52001-7313

Mailing address

1000 Langworthy St
Dubuque, IA 52001-7365
Phone (563) 584-3425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220727000210 IA Practitioner - Cardiovascular Disease (Cardiology) 0345554069 Reassigns benefits to 1 organization
I20230410001248 WI Practitioner - Cardiovascular Disease (Cardiology) 0345554069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

1000 Langworthy St
Dubuque, IA 52001-7313
Phone (563) 584-4100

1240 Big Jack Rd
Platteville, WI 53818-8902
Phone (608) 348-6266

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair82

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Medical Associates Clinic P C CurrentSince Jul 18, 2022 Accepting new patients

Locations

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1240 Big Jack Rd
Platteville, WI 53818
Phone (608) 348-2844

Interoperability endpoints

  • Direct secure messaging: bloc945856@direct.unitypoint.org

Organizations & group practices 2

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

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1033599691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LANGWORTHY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017365",
            "telephone_number": "563-584-3425",
            "fax_number": "563-584-3497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LANGWORTHY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017313",
            "telephone_number": "563-584-3425",
            "fax_number": "563-584-3497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOC",
        "first_name": "BRIAN",
        "middle_name": "LEO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-08",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "DO-06021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.