Brenton A Hallden (NPI# 1992351290, PAC ID# 8224369327) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1992351290 |
| PAC ID by PECOS | 8224369327 |
| Professional Enrollment ID | I20191003001607 |
| Full Name | Brenton A Hallden |
| Organization Legal Name | ACK HEALTHCARE MANAGEMENT LLC |
| Address |
83 Ballpark Rd Hardinsburg KY 40143-4859 |
| Phone Number | 2705804778 |
| Gender | M |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3072736602 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 83 Ballpark Rd, Hardinsburg, KY 40143-4859 | 2705804778 | ACK HEALTHCARE MANAGEMENT LLC |
| 1520 4th St, Lewisport, KY 42351-2529 | 2702953890 | ACK HEALTHCARE MANAGEMENT LLC |
| 3600 Frederica St, Suite Aandb, Owensboro, KY 42301-6981 | 2706840023 | AK HEALTHCARE MANAGEMENT INC. |
| Organization Legal Name | ACK HEALTHCARE MANAGEMENT LLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan Renee Hicks | Nurse Practitioner | Ack Healthcare Management LLC | 1116 S Main St, Suite 5, Morgantown, KY 42261-9832 |
| Tanya F Revor | Nurse Practitioner | Ack Healthcare Management LLC | 1520 4th St, Lewisport, KY 42351-2529 |
| Alicia C Henning | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
| Delana Michelle Connors | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
| Albert F Ward Ii | Nurse Practitioner | Ack Healthcare Management LLC | 1116 S Main St, Suite 5, Morgantown, KY 42261-9832 |
| Claire Elizabeth Knott | Nurse Practitioner | Ack Healthcare Management LLC | 2025 Bypass Rd, Suite 205, Brandenburg, KY 40108-1605 |
| Bridget Evans | Nurse Practitioner | Ack Healthcare Management LLC | 1520 4th St, Lewisport, KY 42351-2529 |
| Brittany Major | Nurse Practitioner | Ack Healthcare Management LLC | 2025 Bypass Rd, Suite 205, Brandenburg, KY 40108-1605 |
| Street Address |
83 BALLPARK RD |
| City | HARDINSBURG |
| State | KY |
| Zip | 40143-4859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alicia C Henning | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
| Delana Michelle Connors | Nurse Practitioner | Ack Healthcare Management LLC | 83 Ballpark Rd, Hardinsburg, KY 40143-4859 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert D Knox | Otolaryngology | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Kent R Ruskowski | Chiropractic | 143a Old Hwy 60, Hardinsburg, KY 40143-2501 | |
| Benjamin S Smith | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Brian Thomas Odonoghue | Family Medicine | Breckinridge Health, Inc. | 107 Old Hwy 60, Hardinsburg, KY 40143-2501 |
| Rotimi A Iluyomade | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Ray Charles Kennedy | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Kerry C Gusler | Family Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Nicholls W Nelson | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Mandy Jo Butler | Nurse Practitioner | Breckinridge Health, Inc. | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Roger L Gelperin | Emergency Medicine | Concord Medical Group of Kentucky | 1011 Old Hwy 60, Hardinsburg, KY 40143-2519 |
| Find all physicians in zip 40143 | |||
| City | HARDINSBURG |
| Zip Code | 40143 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HARDINSBURG + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Brenton A Hallden.
| 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.