Active NPI
Bern Rex Boyett, MD
- Neuromusculoskeletal Medicine & OMM Physician
- Des Moines, IA
National Provider Identifier
1316039670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 34393
- Practice address
- 1301 Pennsylvania Ave
Penn Center / Suite 416
Des Moines, IA 50316-2350 - Phone
- (515) 205-2113
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 34393 | IA | Primary |
Addresses
Primary practice location
1301 Pennsylvania Ave
Penn Center / Suite 416
Des Moines, IA 50316-2350
Mailing address
1301 Pennsylvania Ave
Penn Center / Suite 416
Des Moines, IA 50316-2350
Phone (515) 205-2113
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 |
|---|---|---|---|
| 34393 | IA | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316039670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"address_2": "PENN CENTER / SUITE 416",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162350",
"telephone_number": "515-205-2113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PENNSYLVANIA AVE",
"address_2": "PENN CENTER / SUITE 416",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162350",
"telephone_number": "515-205-2113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOYETT",
"first_name": "BERN",
"middle_name": "REX",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "IA",
"license": "34393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.