Individual provider Active NPI

Jeffrey Alan Brannen, DO

  • Gastroenterology Physician
  • Clive, IA
National Provider Identifier
1972616316
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
DO-03584 Issued in IA
Practice address
1601 NW 114TH St Ste 342
Clive, IA 50325-7036
Phone
(515) 222-7600
Fax
(515) 222-7601
NPI assigned
Aug 17, 2006
Last updated
Nov 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X DO-03584 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 342
Clive, IA 50325-7036

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

1005 Pennsylvania Ave
Suite 104
Ottumwa, IA 52501-6413
Phone (641) 682-4594

Other identifiers 1

IdentifierTypeStateIssuer
1972616316MedicaidIA

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
I20050211000315 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 6305898917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Iowa, RJ & L Carver College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ottumwa Health Group LLCGroup PAC ID 3971629924, 26 clinicians
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1001 Pennsylvania Ave
Ottumwa, IA 52501-2186
Phone (641) 682-7511

1011 E Pennsylvania Ave B
Ottumwa Orthopedics
Ottumwa, IA 52501-2129
Phone (641) 684-2684

1011 Pennsylvania Ave
Ottumwa, IA 52501-2129

1601 NW 114TH St
342 Mercyone Clive Gastroenterology Care CL
Clive, IA 50325-7036
Phone (515) 222-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy97
Upper gastrointestinal (GI) endoscopy for acid reflux66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-03584IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ottumwa Health Group LLC CurrentSince Apr 1, 2013 Accepting new patients
Ottumwa Health Group LLC Gastroenterology CurrentSince Apr 1, 2013 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Nov 2, 2025 Accepting new patients
Mercy Clinics, Inc Gastroenterology CurrentSince Nov 2, 2025 Accepting new patients
RCHP Ottumwa LLC Past Accepting new patients

Locations

1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

1005 Pennsylvania Ave
Ste 104
Ottumwa, IA 52501
Phone (515) 682-4594

1013 Pennsylvania Ave
Ste D
Ottumwa, IA 52501
Phone (641) 684-2684

Interoperability endpoints

  • Direct secure messaging: jeffrey.brannen.1@6270.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763856000000",
    "number": "1972616316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "515-222-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 342",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1005 Pennsylvania Ave",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525016413",
            "country_code": "US",
            "telephone_number": "641-682-4594",
            "fax_number": "641-682-2123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRANNEN",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2025-11-23",
        "certification_date": "2025-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "DO-03584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972616316",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.