Brian D Dieterle MD PC
NPI 1942487137ActiveOrganization· Internal Medicine· Branson, MO
Internal Medicine in Branson, Missouri, registered in NPPES in January 2008. The authorized official on file is Brian D. Dieterle, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1942487137 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 30, 2008 |
| Last updated in NPPES | Oct 25, 2023 |
| Certified by provider | Oct 25, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 102259 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MO) |
|---|
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