Individual
WILLIAM JOSEPH BROSNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 UNIVERSITY AVE, SUITE 300, WEST DES MOINES, IA 50266-5945
(515) 401-1950
(515) 401-1955
Mailing address
4200 UNIVERSITY AVE, SUITE 300, WEST DES MOINES, IA 50266-5945
(515) 401-1950
(515) 401-1955
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28850
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122655
—
IA
01
—
050040899
RAILROAD MEDICARE #
IA
01
—
28850
TRICARE PROVIDER #
IA
01
—
4262
MIDLANDS PROVIDER #
IA
01
—
51342
BLUE SHIELD PROVIDER #
IA
01
—
IA0165
JOHN DEERE PROVIDER #
IA
Enumeration date
12/23/2005
Last updated
05/19/2020
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