BRENTON B. KOCH MD – NPI #1487651303
Otolaryngology

An otolaryngologist who specializes in facial plastic surgery.

BRENTON KOCH is an otolaryngologist located in WEST DES MOINES, IA. NPPES has assigned the NPI number 1487651303 to BRENTON KOCH on July 07, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207YS0123X from the Health Care Provider Taxonomy code set, which is classified as Otolaryngology, specializing in Facial Plastic Surgery

The NPI profile was previously updated about 12 years ago on Mar 11, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRENTON KOCH below.

NPI Profile for
BRENTON B. KOCH

NPI Number
1487651303
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
BRENTON B. KOCH
Credentials
MD
Primary location
4855 MILLS CIVIC PKWY # 100
WEST DES MOINES, IA 50265-5268
Phone: (515) 277-5555 Fax: (515) 277-0060
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for BRENTON KOCH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDIA1162586
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.