Curtis Alan Broek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1795 Issued in IA

Practice address

7030 Douglas Ave
Urbandale, IA 50322-3224

Phone

(515) 278-0123

Fax

(515) 278-6310

NPI assigned

Nov 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr. Curtis Broek, OD, PC

  • Optometrist
  • Urbandale, IA
  • NPI 1831224419
  Medicare reassignment NPD Authorized official
• Dr Curtis Broek OD PC

  • Optometrist
  • Urbandale, IA
  • NPI 1306971973
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437220282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7030 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223224",
            "telephone_number": "515-278-0123",
            "fax_number": "515-278-6310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 DOUGLAS AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223224",
            "telephone_number": "515-278-0123",
            "fax_number": "515-278-6310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROEK",
        "first_name": "CURTIS",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shana Boger, LMFT, CADC
• Jessalynn Bradley
• Ami Bradwell
• Jailyn Antoinette Brewer Chapman
• Kyle J Brinning, OTRL
• John Albert Broek, O.D.
• Amanda Denine Bruett, M.S.
• Kelli Brus, CD(DONA), MAE, ED.S.
• BTX Iowa Inc (BioTech X-Ray)
• BTX Iowa Inc. (BioTech X-ray)

• Optometrist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Optometrist in Iowa

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.