Brent Christensen


Address: 1777 E Clark St, Suite 220, Pocatello, ID 83201-3357
Phone: 2082351777

Brent Christensen (NPI# 1487688990, PAC ID# 3779514435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.

Physician Overview

Nation Provider ID (NPI) 1487688990
PAC ID by PECOS 3779514435
Professional Enrollment ID I20050823000695
Full Name Brent Christensen
Address 1777 E Clark St
Suite 220
Pocatello
ID 83201-3357
Phone Number 2082351777
Gender M
Credential DPM
Medical School CALIFORNIA COLLEGE PODIATRIC MEDICINE
Graduation Year 1999
Primary Specialty PODIATRY
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
131309 CARIBOU MEMORIAL HOSPITAL
130028 PORTNEUF MEDICAL CENTER

Other Locations

Address Phone Organization
150 N 200, Malad City, ID 83252-1239 2082351777
1777 E Clark St, Suite 220, Pocatello, ID 83201-3357 2082351777
366 S 3rd, Soda Springs, ID 83276-1559 2082351777

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
MIPS_EC_047_overall Care Plan 100%
MIPS_EC_126_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation 100%
MIPS_EC_127_overall Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear 100%

Organization Information

Office Location

Street Address 1777 E CLARK ST
SUITE 220
City POCATELLO
State ID
Zip 83201-3357

Physicians in the same location

Name Specialty Organization Address
Charles P Lawless Ophthalmology 1777 E Clark St, Suite 310, Pocatello, ID 83201-3357
Dwight Gale Romriell Oral Surgery 1777 E Clark St, Suite 240, Pocatello, ID 83201-3357
Jerilyn Pence Clinical Social Worker Life Change Associates PC 1777 E Clark St, Pocatello, ID 83201-3357

Physicians in the same zip code

Name Specialty Organization Address
Timothy A Flicker Physical Therapy 2839 Margo Ln, Pocatello, ID 83201-1961
Michael D Lance Psychiatry St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Kenneth A Cogen Nephrology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Randall J Skeem Internal Medicine St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Martha Elizabeth Franz Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
John L Shuss General Surgery St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Ciara C Christensen Clinical Psychologist St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Robin L Hall Nurse Practitioner St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Laurence L Martens Family Practice St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Terry J Buccambuso Diagnostic Radiology St Luke's Clinic, LLC 2001 Bench Rd, Pocatello, ID 83201-2033
Find all physicians in zip 83201

Competitor

Search similar physicians

City POCATELLO
Zip Code 83201
Specialty PODIATRY
City + Specialty POCATELLO + PODIATRY

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Dataset Information

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.

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