MR. KENT P ELLERBROEK (MD) – Dermatology Physician, NPI 1104800192

MR. KENT P ELLERBROEK (MD) is a healthcare provider. based in Waterloo, Iowa. specializing in Dermatology Physician. They hold the professional credentials MD. They hold a License No. 20213 (IA). The NPI Number for MR. KENT P ELLERBROEK (MD) is 1104800192

Main info

Male
Sole Proprietor
Name
MR. KENT P ELLERBROEK (MD)
NPI
1104800192
Phone
(319) 235-6323
Address
541 KING DR
Enumeration Date
2 December 2005
Last Update Date
14 October 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MR. KENT P ELLERBROEK (MD)

  • 541, King Drive, Waterloo, Black Hawk County, Iowa, 50702, United States

    WATERLOO, IA 507025959

    Phone: (319) 235-6323

    Fax: (319) 235-0249

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50702)

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Reviews

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Frequently asked questions

What is the standard ID for MR. KENT P ELLERBROEK (MD) in the U.S.?
In the U.S., MR. KENT P ELLERBROEK (MD) is identified by NPI 1104800192.
Quick check: is MR. KENT P ELLERBROEK (MD) active?
Public NPPES data shows MR. KENT P ELLERBROEK (MD) with an active NPI status right now.
What services align with MR. KENT P ELLERBROEK (MD)'s listing?
MR. KENT P ELLERBROEK (MD)'s public classification highlights Dermatology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit MR. KENT P ELLERBROEK (MD) in Waterloo, Iowa?
For routing, start with Waterloo, Iowa for MR. KENT P ELLERBROEK (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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