Individual provider Active NPI

Mark F Brinkman, M.D.

  • Specialist
  • Coeur D Alene, ID
National Provider Identifier
1205899671
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
M6488 Issued in ID
Practice address
1705 N Government Way
Coeur D Alene, ID 83814-3444
Phone
(208) 765-8585
Fax
(208) 765-8486
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M6488 ID Primary

Addresses

Primary practice location

1705 N Government Way
Coeur D Alene, ID 83814-3444

Mailing address

426 S Wide River Rd
Post Falls, ID 83854-7149
Phone (208) 777-1019

Other identifiers 1

IdentifierTypeStateIssuer
001704900MedicaidID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000483 ID Practitioner - Anesthesiology 7214090935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M6488IDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Associates of Coeur D Alene PLLC CurrentSince Jan 1, 1999 Accepting new patients
Helping Hands Chiropractic and Wellness Center Past Accepting new patients

Locations

212 W Ironwood Dr
Ste D
Coeur D Alene, ID 83814
Phone (208) 755-3237

2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085

2121 W Ironwood Center Dr
Coeur D Alene, ID 83814
Phone (208) 625-4680

Interoperability endpoints

  • Direct secure messaging: mbrinkman619906@direct.multicare.org

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Kansas School of Med (KC/Wich/Sal), 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Coeur D Alene PLLC 58 clinicians

Practice addresses (Care Compare)

2121 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4682

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1205899671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 S WIDE RIVER RD",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838547149",
            "telephone_number": "208-777-1019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 N GOVERNMENT WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143444",
            "telephone_number": "208-765-8585",
            "fax_number": "208-765-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINKMAN",
        "first_name": "MARK",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M6488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001704900",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.