Kent Neil Mittelberg, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

29256 Issued in IA

Practice address

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Phone

(319) 363-8171

Fax

(319) 363-3172

NPI assigned

Jul 8, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1609874189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-363-8171",
            "fax_number": "319-363-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITTELBERG",
        "first_name": "KENT",
        "middle_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "29256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "18133",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Miskimins Mills, PHARMD
• Jeffrey Alan Mitchell, D.C.
• Linda Ashley Mitchell, R.D.
• Stacie Mitchell, LMHC
• Teresa Marie Mitchell, PHARMD, BCNSP
• Loretta Mitvalsky, LISW
• Chantelle Mobberley
• Evan Moeller, DC
• Catherine Moghram, LMSW
• Ryne David Mohrfeld, ATC, LAT

• Urology Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Urology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.