| Brian J. Heineman, D.o. | |
|
128 Jackson Street Brooklyn IA 52211 | |
| (641) 522-7221 | |
| (641) 522-5816 |
| Full Name | Brian J. Heineman, D.o. |
|---|---|
| Speciality | Family Medicine |
| Location | 128 Jackson Street, Brooklyn, Iowa |
| Authorized Official Name and Position | Brian J Heineman (OWNER) |
| Authorized Official Contact | 6415227221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J. Heineman, D.o. Po Box 527 Brooklyn IA 52211-0527 Ph: (641) 522-7221 | Brian J. Heineman, D.o. 128 Jackson Street Brooklyn IA 52211 Ph: (641) 522-7221 |
| NPI Number | 1538297940 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 01/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538297940 | NPI | - | NPPES |
| 0415489 | Medicaid | IA | |
| CJ6924 | Other | IA | RAIRLROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Iowa) | Primary |