Overview
Thomas Dale Brieske is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEND MEMORIAL CLINIC PC. The business address is 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051. Published on January 22, 2024.
Enrollment Information
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 2860844255 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20240122002714 |
Full Name | THOMAS DALE BRIESKE |
Gender | M |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Graduation Year | 2023 |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Group Practice PAC ID | 7214936533 |
Number of Group Practice Members | 204 |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | THOMAS DALE BRIESKE |
Address | 815 Sw Bond St Bend OR 97702-3593 |
Taxonomy Code | 363A00000X |
Enumeration Date | 2022-08-18 |
Organization Information
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Alice Tran | Family Practice | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Shelby J Subry | Physician Assistant | Bend Memorial Clinic PC | 2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015 |
Kaylie M Laplante | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Sarah Catherine O'Brien | Nurse Practitioner | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2583 |
Elena Salpas | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Daniel Levi Willis | Urology | Bend Memorial Clinic PC | 2090 Ne Wyatt Ct, Suite 101, Bend, OR 97701-7691 |
Katie T Kahl | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kendra Michelle Caudle | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Scout Fallon Gregerson | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors with the same school
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Madisen Eve Robertus | Physician Assistant | Columbia Gorge Medical Center PC | 1750 12th St, Hood River, OR 97031-9540 |
Michalina Kupsik | Surgical Oncology | Cancer Care Northwest Centers P S | 601 S Sherman St, Spokane, WA 99202-1311 |
Arthur Griffin | Physician Assistant | Platte Valley Medical Group LLC | 16570 Washington St, Scl Health Medical Group Orthopedics Larkridge, Thornton, CO 80023-8964 |
Joshua Jones | Psychiatry | Providence Health and Services - Washington | 100 Sunset Dr, Frisco, CO 80443-5693 |
Bhasker Koppula | Diagnostic Radiology | Tra-Minw P S | 4707 Crestway Dr, Austin, TX 78731-4712 |
Jennifer Marie Wahlquist | Physician Assistant | Sandpoint Family Health Center, PLLC. | 606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594 |
Grace A Zimmerman | Physician Assistant | Anchorage Community Mental Health Services Inc | 4020 Folker St, Anchorage, AK 99508-5321 |
Anna M Mcluen | Family Practice | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Tara Perti | Internal Medicine | Mckenzie Physician Services LLC | 960 N 16th St, Suite 108, Springfield, OR 97477-4175 |
Paul Mack | Physician Assistant | Bullhead Urgent Care Coporation | 1355 Ramar Rd, Suite 11, Bullhead City, AZ 86442-7100 |
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Location Information
Street Address | 1501 NE MEDICAL CTR DR |
City | BEND |
State | OR |
Zip Code | 97701-6051 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Kerry Traugott | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kaylie M Laplante | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Juliane Durett | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Alice Tran | Family Practice | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Katie T Kahl | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Scout Fallon Gregerson | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Lindsey Sage Cabrera | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Rachel Scott | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Chelsey D Gallegos | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Jennifer E Troth | Physical Therapy | Mobile Physical Therapy, LLC | 1031 Nw Kingston Ave, Bend, OR 97701-0001 |
Jesse Leigh Kratz | Mental Health Counselor | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Glenn J Asti | Chiropractic | 1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679 | |
Lisa J Uri | Family Practice | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
Colin Robert Elie | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
Connor King | Orthopedic Surgery | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
Lance Adams | Hospitalist | 20700 Wandalea Dr, Bend, OR 97701-1594 | |
Dani Rane Walker Novi | Clinical Social Worker | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Amy R. Noonan | Occupational Therapy | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Katrina Cypcar | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
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Similar Physicians
Doctors with similar names
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Timothy Brieske | Family Practice | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
Dale Lee | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
Thomas A Dale II | Family Practice | Kentucky Orthopedic Rehabilitation LLC | 836 Euclid Ave, Suite 104, Lexington, KY 40502-1783 |
Thomas Dale Barefoot | Anesthesiology | Associated Anesthesiologists, Inc. | 6839 S Canton Ave, Tulsa, OK 74136-3402 |
Thomas Dale Johnson | Gastroenterology | Mcfarland Clinic PC | 3500 University Blvd, Suite 1001, Ames, IA 50010-3014 |
Dale Han | Surgical Oncology | Oregon Health and Sciences University/University Medical Group | 3303 S Bond Ave, Portland, OR 97239-4501 |
Thomas Dale Godfrey | Nurse Practitioner | Prisma Health University Medical Group | 210 Freeman Farm Rd, Duncan, SC 29334-9398 |
Thomas Dale Greene | Optometry | Central Missouri Eyecare Associates LLC | 1445 Christy Dr, Suite A, Jefferson City, MO 65101-2853 |
Thomas Dale Dewall | Chiropractic | Rebrovich and Whalen Chiropractic Ltd | 18322 Joplin St Nw, Elk River, MN 55330-1773 |
Erwin Dale Thomas | Family Practice | City Medical of Upper East Side PLLC | 3111 Steinway St, Astoria, NY 11103-3908 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.