Individual provider Active NPI

Brett A Penney, M.D.

  • Obstetrics & Gynecology Physician
  • Coeur D'Alene, ID
National Provider Identifier
1164459798
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
M8797 Issued in ID
Practice address
980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Phone
(208) 765-1455
Fax
(208) 667-8655
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X M-8797 ID
Obstetrics & Gynecology Physician 207V00000X M8797 ID Primary

Addresses

Primary practice location

980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814

Mailing address

980 W. Ironwood
Suite 101
Coeur D'Alene, ID 83814
Phone (208) 765-1455

Other identifiers 1

IdentifierTypeStateIssuer
806682500MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20111201000495 ID Practitioner - Obstetrics/Gynecology 8729252705

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Care for Women P aGroup PAC ID 9234187378, 5 clinicians

Practice addresses (Care Compare)

980 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2668
Phone 2087651455120

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-8797IDMDObstetrics & Gynecology Physician
M8797IDMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: bpenney627465@direct.multicare.org
  • Direct secure messaging: bpenney@healthcareforwomen.gwaydirect.com

Hospital & facility affiliations 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1164459798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 W. IRONWOOD",
            "address_2": "SUITE 101",
            "city": "COEUR D'ALENE",
            "state": "ID",
            "postal_code": "83814",
            "telephone_number": "208-765-1455",
            "fax_number": "208-667-8655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNEY",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M-8797",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ID",
            "license": "M8797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806682500",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D'Alene, ID

Sources for this page

Verify at the official NPI Registry.