NPIMap

Individual provider Active NPI

Joel Michael Brink, MD

  • Diagnostic Radiology Physician
  • Omaha, NE
National Provider Identifier
1477718666
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
26178 Issued in NE
Practice address
Emile 42ND St
Omaha, NE 68198-1045
Phone
(402) 559-1010
Fax
(402) 559-1011
NPI assigned
Jul 28, 2008
Last updated
Jun 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 26178 NE Primary

Addresses

Primary practice location

Emile 42ND St
Omaha, NE 68198-1045

Mailing address

988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Phone (402) 559-1010

Other identifiers 1

IdentifierTypeStateIssuer
26178OtherNENE STATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140623002018 SD Practitioner - Diagnostic Radiology 5092961474 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Sanford School of Medicine of University of South Dakota, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Imaging Center LLCGroup PAC ID 0345347803, 18 clinicians
Radiology Associates Prof LLCGroup PAC ID 0941192314, 18 clinicians

Practice addresses (Care Compare)

2929 5TH St
Suite 100
Rapid City, SD 57701-7355
Phone (605) 721-1662

3980 Corral Dr
Rapid City, SD 57702-9283
Phone (605) 484-4438

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.2 of 100Reported as group
Quality
70.83
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.24 of 100Reported as group
Quality
88.01
Improvement activities
40
Cost
76.11

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates Prof, LLC Diagnostic Radiology CurrentSince Jun 30, 2014 Accepting new patients
The Imaging Center, LLC Diagnostic Radiology CurrentSince Jul 12, 2014 Accepting new patients

Locations

2929 5th St
Ste 100
Rapid City, SD 57701
Phone (605) 342-2852

Interoperability endpoints

  • Direct secure messaging: jbrink.5346@regionalhealth.sdhealthlink.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1477718666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "988102 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681988102",
            "telephone_number": "402-559-1010",
            "fax_number": "402-559-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EMILE 42ND ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681981045",
            "telephone_number": "402-559-1010",
            "fax_number": "402-559-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINK",
        "first_name": "JOEL",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "26178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE STATE LICENSE",
            "identifier": "26178",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.