Active NPI
Joseph A Brunkhorst, MD
- Family Medicine Physician
- Iowa Falls, IA
National Provider Identifier
1205845922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 19120
- Practice address
- 920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506 - Phone
- (641) 648-7100
- Fax
- (641) 648-7095
- NPI assigned
- Aug 5, 2006
- Last updated
- May 7, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 19120 | IA | Primary |
Addresses
Primary practice location
920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506
Mailing address
920 South Oak Street
Suite 1
Iowa Falls, IA 50126-9506
Phone (641) 648-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0126292 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19120 | IA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399420800000",
"number": "1205845922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "920 SOUTH OAK STREET",
"address_2": "SUITE 1",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "501269506",
"telephone_number": "641-648-7100",
"fax_number": "641-648-7095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 SOUTH OAK STREET",
"address_2": "SUITE 1",
"city": "IOWA FALLS",
"state": "IA",
"postal_code": "501269506",
"telephone_number": "641-648-7100",
"fax_number": "641-648-7095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUNKHORST",
"first_name": "JOSEPH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2014-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "19120",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0126292",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Iowa Falls, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.