MEDICARE: DR. JOSEPH GREGORY BAUER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	27641	IA
2	208600000X	Surgery Physician	27641	IA

General Provider Information

NPI Number	:	1700878048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH GREGORY BAUER M.D.

Provider Business Mailing Address
First Line	:	PO BOX 13155
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50310-0155
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 30TH ST
Second Line	:	SUITE 112
City	:	DES MOINES
State	:	IA
Zip	:	50310-5876
Country	:	US
Telephone Number	:	515-699-5999
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	09/11/2025

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