Active NPI
Brett A Brechner, DO
- Family Medicine Physician
- Crown Point, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 02002495A
- Practice address
- 9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687 - Phone
- (219) 226-1529
- Fax
- (219) 226-2994
- NPI assigned
- Aug 9, 2005
- Last updated
- Nov 1, 2011
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 02002495A | IN | Primary |
Addresses
Primary practice location
9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687
Mailing address
9150 E 109TH Ave
Suite 2a
Crown Point, IN 46307-7687
Phone (219) 226-1529
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200380090 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Chicago College of Osteopathy, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rci (WRS) LLC
Practice addresses (Care Compare)
1300 Lincolnway
Valparaiso, IN 46383-5824
9150 E 109TH Ave
Suite 2B
Crown Point, IN 46307-7686
Phone (219) 312-2947
Hospital & facility affiliations
- St Mary Medical Center Inc
- Pinnacle Hospital
- St Catherine Hospital Inc
- Franciscan Health Crown Point
- Northwest Health - Porter
- Powers Health Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002495A | IN | MD | Family Medicine Physician |
| 3747 | OK | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Care Solutions P.C. | Current | Accepting new patients | |
| Nwi Mdvip LLC | Family Medicine | Current | Accepting new patients |
| Winfield Family Medicine LLC | Family Medicine | Current | Accepting new patients |
| Pinnacle Healthcare, LLC | Family Medicine | Current | Accepting new patients |
| St. Mary Medical Center Inc | Family Medicine | Past | Accepting new patients |
| St Mary Medical Center Inc | Past | Accepting new patients |
Locations
8833 Gross Point Rd
Ste 300
Skokie, IL 60077
Phone (773) 501-2361
10607 Randolph St
Ste A
Crown Point, IN 46307
Phone (219) 226-1529
9150 E 109th Ave
Ste 2A
Crown Point, IN 46307
Phone (219) 226-1529
9150 E 109th Ave
Ste 2B
Crown Point, IN 46307
Phone (219) 312-2947
9301 Connecticut Dr
Crown Point, IN 46307
Phone (219) 756-2100
3815 River Crossing Pkwy
Ste 100
Indianapolis, IN 46240
Phone (317) 218-3479
8550 Broadway
Merrillville, IN 46410
Phone (219) 736-8888
303 S Main St
Ste 200
Mishawaka, IN 46544
Phone (574) 256-9790
2640 Hamstrom Rd
Portage, IN 46368
Phone (219) 359-3364
Interoperability endpoints
- brett.brechner@wfml-in.direct.office.nextgen.com
- https://api.platform.athenahealth.com/18290/brand/1/csg/1/fhir/r4
- https://fhir.meditouchehr.com/api/fhir/r4/
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Pinnacle Hospital | Hospital | Corporate Officer | Feb 24, 2015 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Pinnacle Hospital
- General Acute Care Hospital
- Crown Point, IN
- NPI 1801969670
Corporate Officer
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Crown Point, IN
- NPI 1538877972
-
dba Lake Orthopedic and Spine
- Multi-Specialty Clinic/Center
- Merrillville, IN
- NPI 1922546530
Family Medicine
-
- Family Medicine Physician
- Crown Point, IN
- NPI 1568413177
-
- Internal Medicine Physician
- Troy, MI
- NPI 1285265983
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
-
dba Michael Kovacich MD
- Family Medicine Physician
- Merrillville, IN
- NPI 1598839730
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Powers Health Rehabilitation Center
- Rehabilitation Hospital
- Crown Point, IN
- NPI 1801301437
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
dba Pinnacle Hospital
- General Acute Care Hospital
- Crown Point, IN
- NPI 1801969670
-
dba Northwest Health-Porter
- General Acute Care Hospital
- Valparaiso, IN
- NPI 1215151154
-
- General Acute Care Hospital
- East Chicago, IN
- NPI 1689776882
-
- General Acute Care Hospital
- Hobart, IN
- NPI 1558463745
-
dba St Mary Wound Clinic
- General Acute Care Hospital
- Hobart, IN
- NPI 1962504175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1629079108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9150 E 109TH AVE",
"address_2": "SUITE 2A",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077687",
"telephone_number": "219-226-1529",
"fax_number": "219-226-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9150 E 109TH AVE",
"address_2": "SUITE 2A",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463077687",
"telephone_number": "219-226-1529",
"fax_number": "219-226-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRECHNER",
"first_name": "BRETT",
"middle_name": "A",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-09",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "02002495A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200380090",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.