Active NPI
Benjamin Brekke
- General Practice Physician
- San Juan, PR
National Provider Identifier
1023786159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 23996
- Practice address
- 1010 Ave Fernandez Juncos Apt 8
San Juan, PR 00907-4537 - Phone
- (787) 478-6740
- NPI assigned
- Sep 2, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 23996 | PR | Primary |
Addresses
Primary practice location
1010 Ave Fernandez Juncos Apt 8
San Juan, PR 00907-4537
Mailing address
220 Calle Manuel Domenech # 944
San Juan, PR 00918-3533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241223003491 | PR | Practitioner - General Practice | 2860929213 |
Reassigns benefits to 3 organizations Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- San Juan Bautista School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Salud Integral En la Montana IncPhysician Services Group LLC PS Group
Practice addresses (Care Compare)
12 2 Carr 152 KM
Naranjito, PR 00719
70 Calle Santa Cruz
Bayamon, PR 00961-7052
Phone (787) 620-4747
Carr 155 Ave Luis Munoz Marin
Orocovis, PR 00719
Phone (787) 867-6010
Carr 164 Sector El Desvio
Bo Achiote
Naranjito, PR 00719
Phone (787) 869-1290
PO Box
Naranjito, PR 00719
Hospital & facility affiliations
- Metropolitan Hospital
- Hospital Espanol Auxilio Mutuo San Pablo
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23996 | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Physician Services Group LLC PS Group | General Practice | Current | Accepting new patients |
| Salud Integral En la Montana, Inc | Current | Accepting new patients | |
| Salud Integral En la Montana, Inc. | Current | Accepting new patients |
Locations
70 Calle Santa Cruz
Bayamon, PR 00961
Phone (787) 620-1639
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Bayamon, PR
- NPI 1477325207
General Practice, PR
-
- Federally Qualified Health Center (FQHC)
- Comerio, PR
- NPI 1275556946
PR
-
- Federally Qualified Health Center (FQHC)
- Naranjito, PR
- NPI 1578586244
PR
-
- Federally Qualified Health Center (FQHC)
- Bayamon, PR
- NPI 1740772102
-
- Federally Qualified Health Center (FQHC)
- Corozal, PR
- NPI 1184647851
-
- Community Based Hospice Care Agency
- Naranjito, PR
- NPI 1205870086
-
- Federally Qualified Health Center (FQHC)
- Orocovis, PR
- NPI 1487677159
-
- Clinical Medical Laboratory
- Naranjito, PR
- NPI 1609882869
-
- Home Health Agency
- Naranjito, PR
- NPI 1659314664
-
- Federally Qualified Health Center (FQHC)
- Barranquitas, PR
- NPI 1316970833
-
- Federally Qualified Health Center (FQHC)
- Toa Alta, PR
- NPI 1609250935
-
- Federally Qualified Health Center (FQHC)
- Toa Alta, PR
- NPI 1639372618
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720828800000",
"number": "1023786159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 CALLE MANUEL DOMENECH # 944",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009183533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 AVE FERNANDEZ JUNCOS APT 8",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009074537",
"telephone_number": "787-478-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREKKE",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-02",
"last_updated": "2024-07-13",
"certification_date": "2024-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "23996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.