Brynn Julie Duerden, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD 2011 0166 Issued in NM

Practice address

5285 Toscana Way Apt 8410
San Diego, CA 92122-5336

Phone

(808) 419-8102

NPI assigned

Apr 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Brynn Julie Duerden Former name

Medicare fee-for-service enrollment

Enrolled in TX, NM, UT3 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 3

Specialty

Emergency Medicine

Education

Medical College of Wisconsin, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physicians Integrated Care LLCGroup PAC ID 4284548116, 203 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mountain West Medical Center Hospital, Tooele, UT, CCN 460014
• St Mark'S Hospital Hospital, Salt Lake City, UT, CCN 460047

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: brynnduerden@rghnm.medalliesdirect.net
• Direct secure messaging: bduerden@yourcarecommunity.org

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.

• Emergency Physicians Integrated Care, LLC

  • Emergency Medicine Physician
  • Salt Lake City, UT
  • NPI 1578598199

  Emergency Medicine, UT

  Medicare reassignment Care Compare group NPD
• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Cibola General Hospital Corporation

  • Critical Access Hospital
  • Grants, NM
  • NPI 1780677039

  NM

  Medicare reassignment NPD
• DHHS,PHS,Naihs, Gallup Indian Medical Center

  • General Acute Care Hospital
  • Gallup, NM
  • NPI 1225002322

  TX

  Medicare reassignment NPD
• Fedko Emergency Physicians New Mexico LLC

  • Emergency Medicine Physician
  • Grants, NM
  • NPI 1770047441

  Emergency Medicine, NM

  Medicare reassignment NPD
• Healthfront PC

  • Emergency Medicine Physician
  • Santa Fe, NM
  • NPI 1417901612

  Emergency Medicine, NM

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of New Mexico - Clovis, LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1477031094

  Emergency Medicine, NM

  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Utah -TCG LLC

  • Emergency Medicine Physician
  • Vernal, UT
  • NPI 1093294563

  Emergency Medicine, UT

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Multi-Specialty Clinic/Center
  • Sandy, UT
  • NPI 1942325154

  UT

  Medicare reassignment NPD
• Roosevelt County Special Hospital District

  • General Acute Care Hospital
  • Portales, NM
  • NPI 1073517058

  NM

  Medicare reassignment NPD
• Ihc Health Services Inc

  • Family Medicine Physician
  • Taylorsville, UT
  • NPI 1043340359
  NPD
• Ihc Health Services, Inc.

  • Psychiatry Physician
  • St George, UT
  • NPI 1023843844
  NPD

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

• Northern Utah Healthcare Corporation

  • General Acute Care Hospital
  • Salt Lake City, UT
  • NPI 1164469243

  Hospital

  Care Compare affiliation
• Tooele Hospital Corporation

  • General Acute Care Hospital
  • Tooele, UT
  • NPI 1124090659

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358899200000",
    "number": "1528232154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5285 TOSCANA WAY APT 8410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225336",
            "telephone_number": "808-419-8102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5285 TOSCANA WAY APT 8410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225336",
            "telephone_number": "808-419-8102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUERDEN",
        "first_name": "BRYNN",
        "middle_name": "JULIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2013-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NM",
            "license": "MD 2011 0166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRYNN",
            "last_name": "DUERDEN",
            "middle_name": "JULIE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Anahi Duenez
• Larry Duensing
• Norman Brian Duerbeck, MD
• Tahlia Duerre, OTR/L
• Duet Psychological Services, Inc.
• Joel Dufault, BCBA
• Lara J Duff, IMF 76982
• Amanda Christine Duffell Mirador

• All providers in San Diego, CA
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.