Individual provider Active NPI

Jason Daniel Brehmer, DO

  • Family Medicine Physician
  • Norwalk, IA
National Provider Identifier
1629089974
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3813 Issued in IA
Practice address
801 Colonial Cir
Norwalk, IA 50211-9626
Phone
(515) 285-3200
Fax
(515) 285-3232
NPI assigned
Aug 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7881 IA
Family Medicine Physician 207Q00000X 3813 IA Primary

Addresses

Primary practice location

801 Colonial Cir
Norwalk, IA 50211-9626

Mailing address

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

Other identifiers 1

IdentifierTypeStateIssuer
1629089974MedicaidIA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000145 IA Practitioner - Family Practice 8325133903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200

840 E University Ave
FM East Des Moines
Des Moines, IA 50316-2304
Phone (515) 265-4211

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Ramsey Village Nursing home, Des Moines, IA, CCN 165514

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3813IAMDFamily Medicine Physician
R7881IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 1, 2012 Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211

1530 E Euclid Ave
Des Moines, IA 50313
Phone (515) 262-0404

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

801 Colonial Cir
Norwalk, IA 50211
Phone (515) 285-3200

2901 86th St
Urbandale, IA 50322
Phone (515) 276-3406

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Interoperability endpoints

  • Direct secure messaging: jbrehmer12234@direct.unitypoint.org

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 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": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1629089974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 COLONIAL CIR",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119626",
            "telephone_number": "515-285-3200",
            "fax_number": "515-285-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 COLONIAL CIR",
            "city": "NORWALK",
            "state": "IA",
            "postal_code": "502119626",
            "telephone_number": "515-285-3200",
            "fax_number": "515-285-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREHMER",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R7881",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629089974",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, IA

Sources for this page

Verify at the official NPI Registry.