Jacob B Pugsley (NPI# 1902065824, PAC ID# 7618029331) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL MEDICINE AND REHABILITATION.
| Nation Provider ID (NPI) | 1902065824 |
| PAC ID by PECOS | 7618029331 |
| Professional Enrollment ID | I20090710000112 |
| Full Name | Jacob B Pugsley |
| Organization Legal Name | ALPINE MANAGEMENT AND CONSULTING LLC |
| Address |
1030 Medical Dr Suite A Brigham City UT 84302-3276 |
| Phone Number | 4357239700 |
| Gender | M |
| Graduation Year | 2005 |
| Primary Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| Group Practice PAC ID | 5496659245 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460017 | BRIGHAM CITY COMMUNITY HOSPITAL |
| 460039 | BEAR RIVER VALLEY HOSPITAL |
| 460004 | MCKAY DEE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 | 4357239700 | ALPINE MANAGEMENT AND CONSULTING LLC |
| Organization Legal Name | ALPINE MANAGEMENT AND CONSULTING LLC |
| Physicians | 13 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammon A Hills | Physical Medicine and Rehabilitation | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Jeffrey J Pulley | Physician Assistant | Alpine Management and Consulting LLC | 55 E Golf Course Rd, Unit B, Logan, UT 84321-0001 |
| Keith J Nelson | Orthopedic Surgery | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Gregory J Hicken | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Brad Joseph Larson | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| David Erik Peterson | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Brian D Hess | Physician Assistant | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Michael L Clegg | Physical Medicine and Rehabilitation | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| David M Rowley | Orthopedic Surgery | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Bradley C Bybee | Physician Assistant | Alpine Management and Consulting LLC | 2310 N 400, Suite A, North Logan, UT 84341-1796 |
| Street Address |
1030 MEDICAL DR SUITE A |
| City | BRIGHAM CITY |
| State | UT |
| Zip | 84302-3276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ammon A Hills | Physical Medicine and Rehabilitation | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Tyler J Newman | Physician Assistant | Rocky Mountain Dermatology Inc | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Gregory J Hicken | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Brad Joseph Larson | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| David Erik Peterson | Orthopedic Surgery | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Lance C Delange | Nurse Practitioner | Alpine Management and Consulting LLC | 1030 Medical Dr, Suite A, Brigham City, UT 84302-3276 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deserae J Goble | Family Medicine | 1950 S Hyway, Suite 89, Perry, UT 84302 | |
| Luellen C Brown | Clinical Social Worker | Bear River Mental Health Services Inc | 950 S 663, Brigham City, UT 84302 |
| Chantel B Murrah | Podiatry | 775 N 200, Willow Glen Health and Rehabilitation, Brigham City, UT 84302-1303 | |
| Bryan D Whetton | Physician Assistant | Bear Lake Community Health Center | 5 W 200, Brigham City, UT 84302-2109 |
| Tara Lee Dalton | Physician Assistant | Access Healthcare LLC | 5 W 200, Brigham City, UT 84302-2109 |
| Christie Lynn Powell | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Cyndi Susan Tangren | Clinical Social Worker | 120 N Main St, Brigham City, UT 84302-2118 | |
| Suzanne E Lee | Family Medicine | Community Health Centers Inc. | 14 N 100 E, 2 Clinica De Buena Salud, Brigham City, UT 84302-2170 |
| Larry D Terry | Optometry | 34 S Main St, Brigham City, UT 84302-2527 | |
| Stephan Michael Moss | Nurse Practitioner | Brigham Medical Clinic, Inc. | 600 W Hospital Rd, Brigham City, UT 84302-3006 |
| Find all physicians in zip 84302 | |||
| City | BRIGHAM CITY |
| Zip Code | 84302 |
| Specialty | PHYSICAL MEDICINE AND REHABILITATION |
| City + Specialty | BRIGHAM CITY + PHYSICAL MEDICINE AND REHABILITATION |
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| 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.