BRENTON B KOCH MD
NPI 1487651303
Otolaryngology - Facial Plastic Surgery in West Des Moines, IA
- Individual
- Male
- Otolaryngology
- Facial Plastic Surgery
- Accepts Insurance
About BRENTON KOCH
This page provides the complete NPI Profile along with additional information for Brenton Koch, a provider established in West Des Moines, Iowa with a medical specialization in Otolaryngology, focusing in facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1487651303 assigned on July 2005. The practitioner's primary taxonomy code is 207YS0123X with license number 31968 (IA). The provider is registered as an individual and his NPI record was last updated 12 years ago.
- NPI
- 1487651303 Verify this NPI
- Provider Name
- BRENTON B KOCH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4855 MILLS CIVIC PKWY # 100 WEST DES MOINES, IA 50265
- Location Phone
- (515) 277-5555
- Location Fax
- (515) 277-0060
- Mailing Address
- 4855 MILLS CIVIC PKWY # 100 WEST DES MOINES, IA 50265
- Mailing Phone
- (515) 277-5555
- Mailing Fax
- (515) 277-0060
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2005
- Last Update Date
- 03-11-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Otolaryngology Facial Plastic Surgery
- Taxonomy Code
- 207YS0123X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 31968
- License State
- IA
- Taxonomy Description
- An otolaryngologist who specializes in facial plastic surgery.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207YX0905X | Allopathic & Osteopathic Physicians | Otolaryngology | 31968 (IA) |
| 2 | 2082S0099X | Allopathic & Osteopathic Physicians | Plastic Surgery | 31968 (IA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Inspire by Medica Bronze $0 Copay PCP Visits - EPO
- Inspire by Medica Bronze Share - EPO
- Inspire by Medica Expanded Bronze Standard - EPO
- Inspire by Medica Gold $0 Copay PCP Visits - EPO
- Inspire by Medica Gold Share - EPO
- Inspire by Medica Gold Standard - EPO
- Inspire by Medica Silver $0 Copay PCP Visits - EPO
- Inspire by Medica Silver Share - EPO
- Inspire by Medica Silver Standard - EPO
- Medica Insure Bronze $0 Copay PCP Visits - EPO
- Medica Insure Bronze Premier - EPO
- Medica Insure Bronze Share - EPO
- Medica Insure Expanded Bronze Standard - EPO
- Medica Insure Gold $0 Copay PCP Visits - EPO
- Medica Insure Gold Share - EPO
- Medica Insure Gold Standard - EPO
- Medica Insure Silver $0 Copay PCP Visits - EPO
- Medica Insure Silver Share - EPO
- Medica Insure Silver Standard - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| I3915 | MEDICARE ID-TYPE UNSPECIFIED (04) | IA | |
| G62390 | MEDICARE UPIN (02) | IA | |
| 1162586 | MEDICAID (05) | IA |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487651303, enumerated as an "individual" on July 07, 2005.
The provider is located at 4855 MILLS CIVIC PKWY # 100 WEST DES MOINES, IA 50265 and the phone number is (515) 277-5555.
Otolaryngology with taxonomy code 207YS0123X and a focus in Facial Plastic Surgery.
The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
