BRENTON B KOCH MD
NPI 1487651303
Otolaryngology - Facial Plastic Surgery in West Des Moines, IA

Q: What is Brenton Koch's NPI number?

The NPI number for Brenton Koch is 1487651303. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Q: What is Brenton Koch's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Q: When was this NPI record last updated?

The NPPES record for Brenton Koch was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 07, 2005

4855 MILLS CIVIC PKWY # 100, WEST DES MOINES, IA 50265(515) 277-5555(515) 277-0060 Get Directions Write a Review

NPPES record last updated: March 11, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Brenton B Koch Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRENTON B KOCH MD (NPI 1487651303) is an individual facial plastic surgery provider in West Des Moines, Iowa, licensed in Iowa (31968) and active in the NPI registry since July 2005.

NPPES Registry Identity

NPI1487651303

Entity TypeIndividualMale

Primary Taxonomy207YS0123X

Provider Legal NameBRENTON B KOCHCredential: MD

Location Address4855 MILLS CIVIC PKWY # 100West Des Moines, IA 50265-5268

Mailing Address4855 Mills Civic Pkwy # 100West Des Moines, IA 50265-5268 · (515) 277-5555 · Fax (515) 277-0060

Phone(515) 277-5555

Fax(515) 277-0060

Sole ProprietorNo

Enumeration DateJuly 7, 2005

Last NPPES UpdateMarch 11, 2014

✔ NPI 1487651303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207YS0123X

License✔ Licensed in IA · 31968

Definition

An otolaryngologist who specializes in facial plastic surgery.

Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 31968 (IA)

Also ListedPlastic Surgery · Plastic Surgery Within the Head and NeckTaxonomy 2082S0099X · License 31968 (IA)

4855 MILLS CIVIC PKWY # 100, West Des Moines, IA 50265

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Other Identifiers 3

Medicare ID-Type UnspecifiedI3915IA

Medicare UPING62390IA

Medicaid1162586IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brenton Koch's NPI number?

The NPI number for Brenton Koch is 1487651303. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Brenton Koch located?

Brenton Koch practices at 4855 Mills Civic Pkwy # 100, West Des Moines, IA 50265. The listed phone number is (515) 277-5555.

What is Brenton Koch's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

What insurance does Brenton Koch accept?

Health plans from Medica list Brenton Koch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brenton Koch was last updated on March 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.