Adam James Brochert, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

052147 Issued in GA

Practice address

74785 US Highway 111 Ste 101
Indian Wells, CA 92210

Phone

(760) 836-3835

NPI assigned

May 10, 2006

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, CA, NV, MS4 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 4

Specialty

Diagnostic Radiology

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

M and B Imaging, PCGroup PAC ID 1557623782, 69 clinicians

Coastal Imaging Solutions LLCGroup PAC ID 0042464364, 22 clinicians

Pro Radiology LLCGroup PAC ID 1052696432, 112 clinicians

Columbus Diagnostic Center IncGroup PAC ID 3375455884, 25 clinicians

Synergy Radiology LLCGroup PAC ID 2668727744, 73 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Optim Medical Center - Screven Hospital, Sylvania, GA, CCN 111312

Merit-based Incentive Payment System (MIPS)

Final score

36.74 of 100Reported as individual

Quality

25.58

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: adam.brochert.1@16403.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/EBBAAA
• Direct secure messaging: scott.billingsmd.p1@direct.aicaorthopedics.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Coastal Imaging Solutions LLC

  dba Global Imaging Solutions

  • Radiology Clinic/Center
  • Savannah, GA
  • NPI 1114263456
  Medicare reassignment Care Compare group NPD
• Columbus Diagnostic Center Inc

  • Diagnostic Radiology Physician
  • Columbus, GA
  • NPI 1316108624

  NV

  Medicare reassignment Care Compare group NPD
• M & B Imaging, PC

  • Radiology Clinic/Center
  • Gainesville, GA
  • NPI 1932624723

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Pro Radiology, LLC

  • Radiology Clinic/Center
  • Atlanta, GA
  • NPI 1164966461
  Medicare reassignment Care Compare group NPD
• Synergy Radiology, LLC

  dba American Health Imaging of Conyers

  • Radiology Clinic/Center
  • Conyers, GA
  • NPI 1558886341

  Diagnostic Radiology

  Medicare reassignment Care Compare group NPD
• Halo Medical Group

  dba Desert Medical Imaging

  • Diagnostic Radiology Physician
  • Indian Wells, CA
  • NPI 1467506451

  Family Medicine, NV

  Medicare reassignment NPD
• Internal Medicine Associates, P.C.

  • Internal Medicine Physician
  • Macon, GA
  • NPI 1033180625
  Medicare reassignment NPD
• Tallahatchie General Hospital

  • Diagnostic Radiology Physician
  • Charleston, MS
  • NPI 1215267232
  Medicare reassignment NPD
• Tallahatchie General Hospital

  • Critical Access Hospital
  • Charleston, MS
  • NPI 1679733497
  Medicare reassignment NPD
• University Medical Center of Southern Nevada

  dba University Medical Center

  • General Acute Care Hospital
  • Las Vegas, NV
  • NPI 1548393127
  Medicare reassignment NPD
• Optim Orthopedics, LLC

  dba Optim Orthopedics

  • Orthopaedic Surgery Physician
  • Savannah, GA
  • NPI 1780077982
  Medicare reassignment
• Vision Imaging Center LLC

  dba Vision Imaging Center

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Thomasville, GA
  • NPI 1346947637
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Screven County Hospital, LLC

  dba Optim Medical Center - Screven

  • Critical Access Hospital
  • Sylvania, GA
  • NPI 1225339898
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1033169339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 EISENHOWER DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062668",
            "telephone_number": "912-355-6255",
            "fax_number": "912-355-6256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "92210",
            "telephone_number": "760-836-3835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E DeRenne Ave",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314056736",
            "country_code": "US",
            "telephone_number": "912-644-5300",
            "fax_number": "912-644-5241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCHERT",
        "first_name": "ADAM",
        "middle_name": "JAMES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "052147",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A92244",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "00A922440",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A922440",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Carl Adler
• George Altuzarra, D.D.S.
• Axis Residential Treatment LLC
• Jennifer Lynn Bain-Dixon, M.S.,CCC-A
• Better Hearing Systems, Inc. (Better Hearing Systems)
• Ronald B Bush, MD
• Richard Gorman Byrd, M.D.
• Alexis Cancino
• Rene Eduardo Chavez
• City of Indian Wells

• Diagnostic Radiology Physician in Indian Wells, CA
• Providers in Indian Wells, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; 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.

Verify at the official NPI Registry.