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DR. KENT NEIL MITTELBERG MD NPI 1609874189


NPI Information

NPI: 1609874189
Provider Name: DR. KENT NEIL MITTELBERG, MD
Classification: Urology - 208800000X
Entity Type: Individual
Address:
202 10TH STREET SE
CEDAR RAPIDS, IA
ZIP 52403
Phone: (319) 363-8171
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DR. Kent Neil Mittelberg, MD is an urology in Cedar Rapids, IA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. DR. Kent Neil Mittelberg, MD NPI is 1609874189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

202 10TH STREET SE
CEDAR RAPIDS, IA
ZIP 52403-404
Phone: (319) 363-8171
Fax: (319) 363-3172

The enumeration date for this NPI number is 7/8/2005 and was last updated on 9/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208800000XUrology29256IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G35768MEDICARE UPINIOWA
218133OTHERIOWABLUE CROSS/BLUE SHIELD
32210013MEDICARE ID-TYPE UNSPECIFIEDIOWA
418071MEDICARE ID-TYPE UNSPECIFIEDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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