Nathan D Brinckhaus (NPI# 1508156910, PAC ID# 1355560541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1508156910 |
| PAC ID by PECOS | 1355560541 |
| Professional Enrollment ID | I20140922000572 |
| Full Name | Nathan D Brinckhaus |
| Organization Legal Name | FORTUNA FAMILY MEDICAL GROUP INC |
| Address |
874 Main St Fortuna CA 95540-1926 |
| Phone Number | 7077253334 |
| Gender | M |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | EMERGENCY MEDICINE, HOSPITALIST |
| Group Practice PAC ID | 5597754556 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 051318 | REDWOOD MEMORIAL HOSPITAL |
| 050006 | ST JOSEPH HOSPITAL |
| 050028 | MAD RIVER COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2700 Dolbeer St, Eureka, CA 95501-4736 | 7074458121 | ST JOSEPH HERITAGE HEALTHCARE |
| 2710 Dolbeer St, Eureka, CA 95501-4736 | 7072672060 | ST JOSEPH HERITAGE HEALTHCARE |
| 3300 Renner Dr, Fortuna, CA 95540-3120 | 7077253361 | ST JOSEPH HERITAGE HEALTHCARE |
| 874 Main St, Fortuna, CA 95540-1926 | 7077253334 | FORTUNA FAMILY MEDICAL GROUP INC |
| 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 7075463210 | ST JOSEPH HERITAGE HEALTHCARE |
| Organization Legal Name | FORTUNA FAMILY MEDICAL GROUP INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Street Address |
874 MAIN ST |
| City | FORTUNA |
| State | CA |
| Zip | 95540-1926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruben E Brinckhaus | Family Medicine | Fortuna Family Medical Group Inc | 874 Main St, Fortuna, CA 95540-1926 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian Calvert | Optometry | 777 9th St, Fortuna, CA 95540-2001 | |
| Joy B Frasier | Clinical Social Worker | 940 Main St, Fortuna, CA 95540-2007 | |
| Noreen L Edwards | Clinical Social Worker | 1100 Main St, Suite B, Fortuna, CA 95540-2148 | |
| Alan E French | Optometry | 630 9th St, Fortuna, CA 95540-2324 | |
| Neil Robert Kelley | Podiatry | 1730 Main St, Suite B, Fortuna, CA 95540-2451 | |
| Lauretta R Allen | Physical Therapy | Eureka Physical Therapy | 2600 Newburg Rd, A Phys Therapy Corp, Fortuna, CA 95540-2536 |
| Michael H Crosbie | Chiropractic | 1828 Main St, Fortuna, CA 95540-2717 | |
| Benjamin R Cowell | Chiropractic | 431 N Fortuna Blvd, Fortuna, CA 95540-2724 | |
| Jack L Guccione | Dermatology | 2404 Newburg Rd, Fortuna, CA 95540-2818 | |
| Gale James Asti | Chiropractic | 930 S Fortuna Blvd, Fortuna, CA 95540-3009 | |
| Find all physicians in zip 95540 | |||
| City | FORTUNA |
| Zip Code | 95540 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | FORTUNA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nathan D Brinckhaus.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.