MR. BRIAN J HEINEMAN (NPI# 1548341035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548341035 |
| Entity Type | Individual |
| Full Name | MR. BRIAN J HEINEMAN |
| Credential | DO |
| Practice Address |
128 Jackson Street Brooklyn IA 52211 |
| Mailing Address |
Po Box 527 128 Jackson Street Brooklyn IA 52211-0527 |
| Practice Telephone | 6415227221 |
| Practice Fax Number | 6415225816 |
| Mailing Telephone | 6415227221 |
| Mailing Fax Number | 6415225816 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
01662 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0415489 | 05 | |
| IA | WELLMARK BLUE CROSS | 06059 | 01 |
| Street Address |
128 JACKSON STREET |
| City | BROOKLYN |
| State | IA |
| Zip Code | 52211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538297940 | Brian J. Heineman, D.o. | Family Medicine | 128 Jackson Street, Brooklyn, IA 52211 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396936431 | Brooklyn Chiropractic, P.l.c. | Chiropractor | 124 Jackson St., Brooklyn, IA 52211 | 2007-08-05 |
| 1306935101 | Town of Brooklyn | Ambulance | 134 Jackson, Brooklyn, IA 52211-0269 | 2006-10-12 |
| 1679553002 | Philip J Harrington | Chiropractor | 124 Jackson Street, # 421, Brooklyn, IA 52211-0421 | 2006-01-20 |
| 1427487685 | Michele Leann Schultz | Nurse Practitioner | 128 Jackson St, Brooklyn, IA 52211-7711 | 2013-11-07 |
| 1831425776 | Brooklyn Chiropractic Center, PC | Chiropractor | 124 Jackson St, Brooklyn, IA 52211-7711 | 2009-10-28 |
| 1396304267 | Kyle M Hawkins | Physician Assistant | 128 Jackson St, Brooklyn, IA 52211-7711 | 2019-06-13 |
| 1346693314 | Samantha Smith | Physician Assistant | 128 Jackson St, Brooklyn, IA 52211-7711 | 2016-07-14 |
| 1982019865 | Emily Wagner | Physician Assistant | 128 Jackson St, Brooklyn, IA 52211-7711 | 2014-06-30 |
| 1386970226 | Alan Edward Wiedenman | Chiropractor | 124 Jackson St, Brooklyn, IA 52211-7711 | 2009-10-28 |
| 1669453312 | Thompson & Thompson Long Term Care Inc | Pharmacy | 101 E Front St, Brooklyn, IA 52211-7721 | 2005-11-09 |
| Find all providers in zip 52211 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972848307 | A Merryland Operating LLC | Family Medicine | 1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 | 2012-12-12 |
| 1598844433 | Yefim Isaac Sosonkin | Family Medicine | 2221 Ocean Ave, Brooklyn, NY 11229-2303 | 2006-11-02 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881905768 | Hannah Marie Heckart | Family Medicine | 1223 S Gear Ave Ste 208, West Burlington, IA 52655-1693 | 2010-06-25 |
| 1528044310 | James Russell Bell | Family Medicine | 1100 35th St, Marion, IA 52302-1710 | 2005-12-22 |
| 1073581104 | Alan Craig Robb | Family Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-03-14 |
Please comment or provide details below to improve the information on MR. BRIAN J HEINEMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.