Individual provider Active NPI

Kyle Brandon Brown, MD

  • Emergency Medicine Physician
  • Denison, IA
National Provider Identifier
1659862530
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-47909 Issued in IA
Practice address
100 Medical Pkwy
Denison, IA 51442-2299
Phone
(712) 265-2500
Fax
(712) 265-2540
NPI assigned
May 25, 2018
Last updated
Nov 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-47909 IA Primary

Addresses

Primary practice location

100 Medical Pkwy
Denison, IA 51442-2299

Mailing address

100 Medical Pkwy
Denison, IA 51442-2299
Phone (712) 265-2500

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
I20210914002989 IA Practitioner - Family PracticePractitioner - Emergency Medicine 0446515761 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marengo Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital Current Accepting new patients
Crawford County Memorial Hospital Emergency Medicine CurrentSince Jul 26, 2021 Accepting new patients
Marengo Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients

Locations

100 Medical Pkwy
Denison, IA 51442
Phone (712) 265-2500

100 Medical Pkwy
Ste A
Denison, IA 51442
Phone (712) 263-5021

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1659862530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422299",
            "telephone_number": "712-265-2500",
            "fax_number": "712-265-2540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL PKWY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422299",
            "telephone_number": "712-265-2500",
            "fax_number": "712-265-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KYLE",
        "middle_name": "BRANDON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-25",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-47909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, IA

Sources for this page

Verify at the official NPI Registry.