Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benjamin Pottebaum, DO

Individual provider Internal Medicine Physician · NPI 1528419066

Benjamin Pottebaum, DO is a Gastroenterology in Clive, Iowa. Qualified in 2016, 10 years ago. Practices with Iowa Physicians Clinic Medical Foundation, a 1,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Iowa.

Years since qualifying
10
Licensed in
CO, IA
In the registry since
2016
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1378 NW 124th St Ste 200
Clive, IA 50325-8151
Phone: (515) 288-6097
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 411 West 14th Street, Pueblo, CO 81003 — (719) 595-7585

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence DO-06040 (IA)
Internal Medicine Physician Taxonomy 207R00000X · Licence TL.0006064 (CO)
Gastroenterology Physician Taxonomy 207RG0100X · Licence DR.0059275 (CO)

Record details

NPI number1528419066
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 27, 2016
Last updated in NPPESJuly 13, 2022
Certification dateJuly 13, 2022
Mailing address1378 Nw 124th St Ste 200, Clive, IA 50325-8151

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Iowa Physicians Clinic Medical Foundation — 1242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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