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BRIAN D DIETERLE MD PC
NPI 1942487137
Internal Medicine in Branson, MO

Active since January 30, 2008
670 BRANSON LANDING BLVD STE 2, BRANSON, MO 65616(417) 334-0810(417) 334-6685 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 25, 2023, Dec 4, 2015 (2 updates tracked since 2015).

About Brian D Dieterle Md Pc NPPES

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

BRIAN D DIETERLE MD PC (NPI 1942487137) is a healthcare organization registered as an internal medicine in Branson, Missouri and active in the NPI registry since January 2008. The organization lists Brian D Dieterle, President, as its authorized official.

NPPES Registry Identity

NPI1942487137
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBRIAN D DIETERLE MD PC
Location Address670 BRANSON LANDING BLVD STE 2Branson, MO 65616-2063
Mailing Address670 Branson Landing Blvd Ste 2Branson, MO 65616-2063 · (417) 334-0810 · Fax (417) 334-6685
Phone(417) 334-0810
Fax(417) 334-6685
Organization SubpartNo
Authorized OfficialBrian D DieterlePresident · (417) 334-0810
Enumeration DateJanuary 30, 2008
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1942487137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 102259
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
670 BRANSON LANDING BLVD STE 2, Branson, MO 65616
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Other Identifiers 1

Medicaid203602404MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brian D Dieterle Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Brian D Dieterle MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Brian Dieterle, M.D.
Internal Medicine
NPI 1518920412
670 BRANSON LANDING BLVD STE 2
Branson, MO 65616
(417) 334-0810
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Brian D Dieterle MD PC's NPI number?

The NPI number for Brian D Dieterle MD PC is 1942487137. It was assigned to this organization in the NPPES registry on January 30, 2008.

Where is Brian D Dieterle MD PC located?

Brian D Dieterle MD PC is located at 670 Branson Landing Blvd Ste 2, Branson, MO 65616. The listed phone number is (417) 334-0810.

What is Brian D Dieterle MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian D Dieterle MD PC enrolled in Medicare?

Yes. Brian D Dieterle MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brian D Dieterle MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Brian D Dieterle MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Brian D Dieterle MD PC was last updated on October 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.