NPIMap

Individual provider Active NPI

Bryan John Feyen, DO

  • Gastroenterology Physician
  • Ames, IA
National Provider Identifier
1811042310
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
03430 Issued in IA
Practice address
1215 Duff Avenue
Ames, IA 50010-3014
Phone
(515) 239-4450
Fax
(515) 956-4080
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 03430 IA Primary
Gastroenterology Physician 207RG0100X OS12937 FL

Addresses

Primary practice location

1215 Duff Avenue
Ames, IA 50010-3014

Mailing address

PO Box 3014
1215 Duff Avenue
Ames, IA 50010-3014
Phone (515) 239-4450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191029000688 SD Practitioner - Gastroenterology 7315017712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Avera McKennanGroup PAC ID 0345157103, 957 clinicians

Practice addresses (Care Compare)

1000 E 23Rd St
Sioux Falls, SD 57105-2114

1325 S Cliff Ave
Sioux Falls, SD 57105-1007

6100 S Louise Ave
Sioux Falls, SD 57108-6029

6300 S Louise Ave
Suite 200
Sioux Falls, SD 57108-6133
Phone (605) 504-1400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy188
Upper gastrointestinal (GI) endoscopy for acid reflux177

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS12937FLMDGastroenterology Physician
03430IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan Current Accepting new patients
Avera McKennan CurrentSince Sep 1, 2019 Accepting new patients
Avera McKennan Gastroenterology CurrentSince Sep 1, 2019 Accepting new patients
Alabama Digestive Disorders Center, PC Gastroenterology PastSince Sep 7, 2018 Accepting new patients

Locations

1000 E 23rd St
Ste 100
Sioux Falls, SD 57105
Phone (605) 322-1625

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCJJAA
  • Direct secure messaging: bryan.feyen@avera.sdhealthlink.net

Organizations & group practices 4

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 27

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454976000000",
    "number": "1811042310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3014",
            "address_2": "1215 DUFF AVENUE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4450",
            "fax_number": "515-956-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVENUE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500103014",
            "telephone_number": "515-239-4450",
            "fax_number": "515-956-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEYEN",
        "first_name": "BRYAN",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2016-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "03430",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS12937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.