Individual provider Active NPI

Karen Ann Brenot, D.O.

  • Obstetrics & Gynecology Physician
  • Bettendorf, IA
National Provider Identifier
1972709046
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3956 Issued in IA
Practice address
4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656
Phone
(563) 742-5700
Fax
(563) 742-5705
NPI assigned
Jun 25, 2007
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101016468 MI
Obstetrics & Gynecology Physician 207V00000X 3956 IA Primary

Addresses

Primary practice location

4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656

Mailing address

4480 Utica Ridge Rd
Suite 1140
Bettendorf, IA 52722-1656
Phone (563) 742-5700

Other identifiers 1

IdentifierTypeStateIssuer
1972709046MedicaidIA

Other names 1

  • Dr. Karen Ann Clark Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090624000321 IA Practitioner - Obstetrics/Gynecology 3779633573 Reassigns benefits to 1 organization
I20100817000375 IL Practitioner - Obstetrics/Gynecology 3779633573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4300 7TH St
Moline, IL 61265-6866
Phone (309) 762-9800

4480 Utica Ridge Rd
Suite 2230
Bettendorf, IA 52722-1644
Phone (563) 742-5150

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3956IAMDObstetrics & Gynecology Physician
5101016468MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Apr 1, 2012 Accepting new patients
Trinity Medical Center Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722
Phone (563) 359-9805

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

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

4300 7th St
Moline, IL 61265
Phone (309) 762-9800

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: kbrenot92122@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, 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": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1972709046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "SUITE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 UTICA RIDGE RD",
            "address_2": "SUITE 1140",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221656",
            "telephone_number": "563-742-5700",
            "fax_number": "563-742-5705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENOT",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101016468",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "3956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972709046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "CLARK",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.