Individual provider Active NPI

Bryan Foster, PA-C

  • Surgical Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1578040119
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
092861 Issued in IA
Practice address
5880 University Ave Ste 103
West Des Moines, IA 50266-8209
Phone
(515) 633-3660
Fax
(515) 362-4114
NPI assigned
Jul 26, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 092861 IA Primary

Addresses

Primary practice location

5880 University Ave Ste 103
West Des Moines, IA 50266-8209

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180926002251 IA Practitioner - Physician Assistant 5890046015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives-Iowa CorpGroup PAC ID 5698683142, 111 clinicians

Practice addresses (Care Compare)

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8000

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3600

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince Aug 21, 2018 Accepting new patients
Iowa Heart Center PC Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

5880 University Ave
Ste 103
West Des Moines, IA 50266
Phone (515) 633-3600

5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600

Interoperability endpoints

  • Direct secure messaging: bfoster3928560@direct.trinity-health.org
  • Direct secure messaging: bryan.foster.p1@direct.iowaheart.nextgenshare.com

Organizations & group practices 3

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 4

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": "1532563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1578040119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE STE 103",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3660",
            "fax_number": "515-362-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "BRYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-26",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IA",
            "license": "092861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.