Individual provider Active NPI

Bernard Michael Feldman, D.O.

  • Gastroenterology Physician
  • Clive, IA
National Provider Identifier
1134123789
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
01887 Issued in IA
Practice address
1601 NW 114TH St
Ste 342
Clive, IA 50325-7036
Phone
(515) 222-7600
Fax
(515) 222-7643
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01887 IA
Gastroenterology Physician 207RG0100X 01887 IA Primary

Addresses

Primary practice location

1601 NW 114TH St
Ste 342
Clive, IA 50325-7036

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7600

Other identifiers 1

IdentifierTypeStateIssuer
0002485MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000255 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 4880769785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
College of Osteopathic Physicians and Surgeons of Los Angeles, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics Inc 441 clinicians
St Lukes Methodist Hospital 82 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

1601 NW 114TH St
Clive, IA 50325-7036

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240

800 E 1St St
Ankeny, IA 50021-2077

931 8TH Ave SE
Unity Point Gastroenterology
Cedar Rapids, IA 52401-2121
Phone (319) 366-8695

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy81
Upper gastrointestinal (GI) endoscopy for acid reflux137

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01887IAMDPhysical Therapist
1887IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital CurrentSince Aug 19, 2024 Accepting new patients
St. Luke'S Methodist Hospital CurrentSince Aug 19, 2024 Accepting new patients
Mercy Clinics, Inc Gastroenterology CurrentSince Jun 21, 2010 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jun 21, 2010 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

931 8th Ave SE
Cedar Rapids, IA 52401
Phone (319) 366-8695

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

Interoperability endpoints

  • Direct secure messaging: bfeldman3944176@direct.trinity-health.org
  • Direct secure messaging: bfeldman1110491@direct.unitypoint.org

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1134123789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "STE 342",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDMAN",
        "first_name": "BERNARD",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "01887",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "01887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002485",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.