DR. BRENDA GAIL IZEN M.D.
NPI 1760588768
Family Medicine in Wildwood, MO

Q: What is Brenda Izen's NPI number?

The NPI number for Brenda Izen is 1760588768. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Brenda Izen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brenda Izen was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 September 16, 2006

2638 HIGHWAY 109 STE 101, WILDWOOD, MO 63040(636) 821-2500(636) 821-2210 Get Directions Write a Review

NPPES record last updated: November 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Brenda Gail Izen M.d. NPPES

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

DR. BRENDA GAIL IZEN M.D. (NPI 1760588768) is an individual family medicine provider in Wildwood, Missouri, licensed in Missouri (R2K89) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1760588768

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. BRENDA GAIL IZENCredential: M.D.

Location Address2638 HIGHWAY 109 STE 101Wildwood, MO 63040-1161

Mailing Address2638 Highway 109 Ste 101Wildwood, MO 63040-1161 · (636) 821-2500 · Fax (636) 821-2210

Phone(636) 821-2500

Fax(636) 821-2210

Sole ProprietorYes

Enumeration DateSeptember 16, 2006

Last NPPES UpdateNovember 30, 2011

✔ NPI 1760588768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MO · R2K89

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2638 HIGHWAY 109 STE 101, Wildwood, MO 63040

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Other Identifiers 2

Medicare UPINE50424MO

Medicare ID-Type Unspecified001014246

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 Brenda Izen's NPI number?

The NPI number for Brenda Izen is 1760588768. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Brenda Izen located?

Brenda Izen practices at 2638 Highway 109 Ste 101, Wildwood, MO 63040. The listed phone number is (636) 821-2500.

What is Brenda Izen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Brenda Izen was last updated on November 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.