Provider Demographics
NPI:1346448875
Name:BARTELS, PETER N (DO)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:N
Last Name:BARTELS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 PLEASANT ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50309-1423
Mailing Address - Country:US
Mailing Address - Phone:515-241-4200
Mailing Address - Fax:515-241-4081
Practice Address - Street 1:1221 PLEASANT ST
Practice Address - Street 2:SUITE 300
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-1423
Practice Address - Country:US
Practice Address - Phone:515-241-4200
Practice Address - Fax:515-241-4081
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2013-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR81452084N0400X
IL036.1285952084N0400X
IA402352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1346448875Medicaid
IAP01167397OtherRR MEDICARE
IA1346448875Medicaid