NPIMap

Individual provider Active NPI

Brent David Owen, MD

  • Family Medicine Physician
  • Algona, IA
National Provider Identifier
1063670735
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39541 Issued in IA
Practice address
1519 S Phillips St
Algona, IA 50511-3649
Phone
(515) 295-7714
NPI assigned
May 29, 2008
Last updated
Jul 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39541 IA Primary

Addresses

Primary practice location

1519 S Phillips St
Algona, IA 50511-3649

Mailing address

1519 S Phillips St
Algona, IA 50511-3649
Phone (515) 295-7714

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BrentOwen@komhn.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110929000753 IA Practitioner - Family Practice 1052583747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2008
Medicare assignment
May accept Medicare assignment
Group practices
Kossuth Regional Health CenterGroup PAC ID 3375454259, shared by 7 NPIs, 21 clinicians

Practice addresses (Care Compare)

1519 S Phillips St
Kossuth Family Health Center
Algona, IA 50511-3649
Phone (515) 295-7714

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39541IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kossuth Regional Health Center Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Kossuth Regional Health Center Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Kossuth Regional Health Center Current Accepting new patients
Prairie Creek Healthcare, Inc. PastSince Jul 9, 2025 Accepting new patients
Kossuth Regional Health Center Family Medicine Past Accepting new patients

Locations

1515 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

1519 S Phillips St
Algona, IA 50511
Phone (515) 295-2451

Interoperability endpoints

  • Direct secure messaging: brentowen@komhn.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8461b39c-bf4d-446e-92d9-25827935f03f/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Bend Health and RehabilitationWest Bend, IA, CCN 165444 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 May 1, 2014
May 1, 2014
Jul 9, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Prairie Creek Healthcare, Inc.

    dba West Bend Health and Rehabilitation

    • Skilled Nursing Facility
    • West Bend, IA
    • NPI 1184917148

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Organizations & group practices 5

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 7

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": "1212019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1063670735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-7714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S PHILLIPS ST",
            "city": "ALGONA",
            "state": "IA",
            "postal_code": "505113649",
            "telephone_number": "515-295-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWEN",
        "first_name": "BRENT",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-29",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "39541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BrentOwen@komhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Kossuth Regional Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1519 S Phillips St",
            "city": "Algona",
            "state": "IA",
            "country_code": "US",
            "postal_code": "505113649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Algona, IA

Sources for this page

Verify at the official NPI Registry.