Active NPI
Mark F Brinkman, M.D.
- Specialist
- Coeur D Alene, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- M6488
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001704900 | Medicaid | ID |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| M6488 | ID | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Associates of Coeur D Alene PLLC | Current | 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
- 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.
-
- Anesthesiology Physician
- Coeur D Alene, ID
- NPI 1962440966
ID
-
- Primary Care Clinic/Center
- Coeur D Alene, ID
- NPI 1194126003
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
Practice addresses (Care Compare)
2121 W Ironwood Ctr Dr
Coeur D Alene, ID 83814-2639
Phone (208) 625-4682
Hospital & facility affiliations
- Kootenai Health
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.