Kurt A Brickner, DO
Individual provider Active NPI Internal Medicine Physician · Roseburg, OR
NPI 1023092178 · NPPES record last updated Apr 25, 2016
Key facts
- NPI
- 1023092178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- DO20870 (OR)
- Practice address
- 1813 W Harvard Ave
Suite 241
Roseburg, OR 97471-2752 - Phone
- (541) 673-5579
- Fax
- (541) 673-0576
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Midwestern University, Chicago College of Osteopathic Med, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Galen Inpatient Physicians PC
Commonspirit Oregon
Practice addresses (Care Compare)
10123 SE Market St
Portland, OR 97216-2532
Phone (503) 257-2500
2700 NW Stewart Pkwy
Roseburg, OR 97471-1281
Phone (541) 677-6140
Hospital & facility affiliations
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.4 of 100
- Quality
- 65.6
- Improvement activities
- 40
- Cost
- 71.06
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001563 | OR | Practitioner - Internal Medicine | 5991788853 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonspirit Oregon | Current |
Accepting new patients | |
| Galen Inpatient Physicians PC | Hospitalist | Current |
Accepting new patients |
| Galen Inpatient Physicians PC | Internal Medicine | Current | Accepting new patients |
| Commonspirit Oregon | Current | Accepting new patients | |
| Galen Inpatient Physicians PC | Internal Medicine | Current |
Accepting new patients |
| Commonspirit Oregon | Past | Accepting new patients |
Locations
2100 Powell St
Ste 920
Emeryville, CA 94608
Phone (510) 350-2698
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355
2700 NW Stewart Pkwy
Roseburg, OR 97471
Phone (541) 673-0611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO20870 | OR | Yes |
| Hospitalist Physician | 208M00000X | DO20870 | OR |
Addresses
Primary practice location
1813 W Harvard Ave
Suite 241
Roseburg, OR 97471-2752
Mailing address
PO Box 1700
Roseburg, OR 97470-0414
Phone (541) 673-5579
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287707 | Medicaid | OR |
Other providers in Roseburg, OR
- Chasteen Renee Brazil
- Kimberly Brent
- Kathleen F. Brewer
- Brian E. Hayes, M.D., P.C.
- Matthew Bricka
- Bridge Health Collective LLC
- Gregory Bridges
- Jami L Bridges
- Andre Coleman Briggs
- Cheryl Briggs
All providers in Roseburg, OR · Internal Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 25, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.