Individual provider Active NPI

Dale C Brentlinger, M.D.

  • Internal Medicine Physician
  • Cheyenne, WY
National Provider Identifier
1043382336
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2995A Issued in WY
Practice address
2508 E Fox Farm Road
#1A
Cheyenne, WY 82007
Phone
(307) 635-3618
Fax
(307) 635-1442
NPI assigned
Nov 14, 2006
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2995A WY Primary

Addresses

Primary practice location

2508 E Fox Farm Road
#1A
Cheyenne, WY 82007

Mailing address

2508 E Fox Farm Road
#1A
Cheyenne, WY 82007
Phone (307) 635-3618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2995AWYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheyenne Health & Wellness Center PastSince Aug 23, 2014 Accepting new patients
Cheyenne Health & Wellness Center Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1043382336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 E FOX FARM ROAD",
            "address_2": "#1A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82007",
            "telephone_number": "307-635-3618",
            "fax_number": "307-635-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 E FOX FARM ROAD",
            "address_2": "#1A",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "82007",
            "telephone_number": "307-635-3618",
            "fax_number": "307-635-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENTLINGER",
        "first_name": "DALE",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "2995A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.