NPIMap

Individual provider Active NPI

Brent Evan Buhr, M.D.

  • Internal Medicine Physician
  • Waterloo, IA
National Provider Identifier
1194952200
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
38963 Issued in IA
Practice address
905 Franklin St
Waterloo, IA 50703-4407
Phone
(319) 272-4300
NPI assigned
Jun 16, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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 390200000X MN
Internal Medicine Physician 207R00000X 38963 IA Primary

Addresses

Primary practice location

905 Franklin St
Waterloo, IA 50703-4407

Mailing address

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

Other identifiers 1

IdentifierTypeStateIssuer
0076372MedicaidIA

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
I20100817000110 IA Practitioner - Internal Medicine 3173657814 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical Foundation 1,254 clinicians
Peoples Community Health Clinic, Inc. 29 clinicians

Practice addresses (Care Compare)

5100 Prairie Pkwy
Suite 301
Cedar Falls, IA 50613-8155
Phone (319) 277-1990

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

Hospital & facility affiliations

  • Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
38963IAMDInternal Medicine Physician
390200000XMNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Peoples Community Health Clinic, Inc. CurrentSince Jul 29, 2010 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Jan 3, 2018 Accepting new patients
Peoples Community Health Clinic, Inc CurrentSince Jul 29, 2010 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Peoples Community Health Clinic, Inc Current Accepting new patients
Laboratory Corporation of America Holdings Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Interoperability endpoints

  • Direct secure messaging: bbuhr635139@direct.ochin.org
  • Direct secure messaging: bbuhr108225@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 3

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": "1245110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1194952200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034407",
            "telephone_number": "319-874-3000",
            "fax_number": "319-874-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 FRANKLIN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507034407",
            "telephone_number": "319-272-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUHR",
        "first_name": "BRENT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-16",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "390200000X",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "38963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076372",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.