Healthcare Provider Details

I. General information

NPI: 1841547189
Provider Name (Legal Business Name): DAVID FELIPE BRICENO GOMEZ MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2012
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 PLEASANT ST STE 414
DES MOINES IA
50309-1408
US

IV. Provider business mailing address

1215 PLEASANT ST STE 414
DES MOINES IA
50309-1408
US

V. Phone/Fax

Practice location:
  • Phone: 515-241-5700
  • Fax:
Mailing address:
  • Phone: 832-301-1636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number298574
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number47853
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: