Brent Christensen (NPI# 1487688990, PAC ID# 3779514435) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
131309 | CARIBOU MEMORIAL HOSPITAL |
130028 | PORTNEUF MEDICAL CENTER |
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 |
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% |
Street Address |
1777 E CLARK ST SUITE 220 |
City | POCATELLO |
State | ID |
Zip | 83201-3357 |
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 |
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 |
City | POCATELLO |
Zip Code | 83201 |
Specialty | PODIATRY |
City + Specialty | POCATELLO + PODIATRY |
Please comment or provide details below to improve the information on Brent Christensen.
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.