Active NPI
Brett A Penney, M.D.
- Obstetrics & Gynecology Physician
- Coeur D'Alene, ID
National Provider Identifier
1164459798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- M8797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 806682500 | Medicaid | ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 a
Practice addresses (Care Compare)
980 W Ironwood Dr
Suite 101
Coeur D Alene, ID 83814-2668
Phone 2087651455120
Hospital & facility affiliations
- Kootenai Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M-8797 | ID | MD | Obstetrics & Gynecology Physician |
| M8797 | ID | MD | Obstetrics & Gynecology Physician |
Interoperability endpoints
- bpenney627465@direct.multicare.org
- bpenney@healthcareforwomen.gwaydirect.com
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Coeur D Alene, ID
- NPI 1992798409
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.