Active NPI
Douglas W Brenton, M.D.
- Neurology Physician
- West Des Moines, IA
National Provider Identifier
1699768218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 19745
- Practice address
- 5950 University Ave
Ste 171
West Des Moines, IA 50266-8216 - Phone
- (515) 875-9250
- Fax
- (515) 875-9251
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 19745 | IA | Primary |
Addresses
Primary practice location
5950 University Ave
Ste 171
West Des Moines, IA 50266-8216
Mailing address
PO Box 4907
Des Moines, IA 50306-4907
Phone (515) 875-9925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227052800000",
"number": "1699768218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4907",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503064907",
"telephone_number": "515-875-9925",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE",
"address_2": "STE 171",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668216",
"telephone_number": "515-875-9250",
"fax_number": "515-875-9251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENTON",
"first_name": "DOUGLAS",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2008-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IA",
"license": "19745",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.