Provider Demographics
NPI:1326023391
Name:MEEKER, BRIAN W (DO)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:W
Last Name:MEEKER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:BRIAN
Other - Middle Name:W
Other - Last Name:MEEKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
Mailing Address - Street 1:504 N 9TH AVE
Mailing Address - Street 2:
Mailing Address - City:VINTON
Mailing Address - State:IA
Mailing Address - Zip Code:52349-2254
Mailing Address - Country:US
Mailing Address - Phone:319-472-6300
Mailing Address - Fax:319-472-6300
Practice Address - Street 1:504 N 9TH AVE
Practice Address - Street 2:
Practice Address - City:VINTON
Practice Address - State:IA
Practice Address - Zip Code:52349-2254
Practice Address - Country:US
Practice Address - Phone:319-472-6300
Practice Address - Fax:319-472-6300
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADO-02109207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA17543OtherER GROUP #
IA55965OtherVFMC GROUP #
IA3056994Medicaid
IA55965OtherVFMC GROUP #
IA03531Medicare PIN