NPIMap

Individual provider Active NPI

Dana Renee Brecount, D.O.

  • Family Medicine Physician
  • Kirksville, MO
National Provider Identifier
1467729210
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011018221 Issued in MO
Practice address
315 S Osteopathy Ave
Kirksville, MO 63501-6401
Phone
(660) 785-1400
NPI assigned
Nov 22, 2011
Last updated
Nov 22, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011018221 MO Primary

Addresses

Primary practice location

315 S Osteopathy Ave
Kirksville, MO 63501-6401

Mailing address

19010 195TH St
Keosauqua, IA 52565-8179
Phone (319) 931-3541

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
I20120501000152 IA Practitioner - Family Practice 2062674427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Van Buren County HospitalGroup PAC ID 7214829530, shared by 7 NPIs, 33 clinicians

Practice addresses (Care Compare)

304 Franklin St
Keosauqua, IA 52565-1164
Phone (319) 293-3171

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2011018221MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Van Buren County Hospital CurrentSince Mar 17, 2012 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Mar 17, 2012 Accepting new patients
Van Buren County Hospital Past Accepting new patients

Locations

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

Interoperability endpoints

  • Direct secure messaging: dbrecount61687@uihcdirect.org

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Van Buren County HospitalKeosauqua, IA, CCN 161337 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017
Van Buren County HospitalKeosauqua, IA, CCN 16Z337 Hospital W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017
Country Lane ManorKeosauqua, IA, CCN 165204 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Keosauqua Medical ClinicKeosauqua, IA, CCN 163453 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017
Birmingham Medical ClinicBirmingham, IA, CCN 163997 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017
Farmington Medical ClinicFarmington, IA, CCN 163452 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017
Fox River Medical ClinicCantril, IA, CCN 163996 Rural health clinic W-2 Managing Employee
Operational/Managerial Control		 Jul 1, 2017
Jul 1, 2017

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1321920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1467729210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19010 195TH ST",
            "city": "KEOSAUQUA",
            "state": "IA",
            "postal_code": "525658179",
            "telephone_number": "319-931-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S OSTEOPATHY AVE",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635016401",
            "telephone_number": "660-785-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRECOUNT",
        "first_name": "DANA",
        "middle_name": "RENEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-22",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2011018221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.