Provider Demographics
NPI:1760427041
Name:HOEGSBERG, BENTE Y (MD)
Entity Type:Individual
Prefix:
First Name:BENTE
Middle Name:Y
Last Name:HOEGSBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1440 PLEASANT ST STE 1
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50314-1728
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1440 PLEASANT ST STE 1
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50314
Practice Address - Country:US
Practice Address - Phone:515-241-8383
Practice Address - Fax:515-241-8386
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2016-0025207VM0101X
NMCS00222684207VM0101X
NH18964207VM0101X
NY155881207VM0101X
WI81053207VM0101X
IA38246207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1760427041Medicaid
IA1760427041Medicaid