Greg R Brockbank, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO0000780 Issued in WA

Practice address

123 W Francis
Spokane, WA 99205

Phone

(509) 483-9363

Fax

(509) 483-0355

NPI assigned

Oct 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lone Peak Hospital Hospital, Draper, UT, CCN 460060

Merit-based Incentive Payment System (MIPS)

Final score

84.99 of 100Reported as individual

Quality

74.89

Promoting interoperability

96

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gregory.brockbank.1@19164.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/19164/brand/1/csg/1/fhir/r4

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.

• Brockbank Foot & Ankle Clinic PC

  • Podiatric Clinic/Center
  • Sandy, UT
  • NPI 1952893703

  Podiatrist, UT

  Medicare reassignment NPD Authorized official
• Spokane Foot Clinic, P S

  • Podiatric Clinic/Center
  • Spokane, WA
  • NPI 1982789095
  NPD (past)
• Utah Podiatric Physicians and Surgeons Group LLC

  • Podiatrist
  • Salt Lake City, UT
  • NPI 1720795586
  NPD (past)

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

• Lone Peak Hospital, Inc.

  • General Acute Care Hospital
  • Draper, UT
  • NPI 1770821571

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209513600000",
    "number": "1710062849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 W FRANCIS",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-483-9363",
            "fax_number": "509-483-0355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 W FRANCIS",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99205",
            "telephone_number": "509-483-9363",
            "fax_number": "509-483-0355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROCKBANK",
        "first_name": "GREG",
        "middle_name": "R",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO0000780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "P00326450",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8430522",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "200644",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Britton
• Talmage Jay Broadbent, MD,PHD
• Jessica Marie Broadfield, MA, LMHCA
• Ivy Raine Broadrick
• Alexis Stephen Brock, RN
• Ethan Lee Brockett, DDS
• Brianna Babe-Dorothy Brockie, BDC.BD.70124549
• Jaime Lynn Brockie
• Leslie Anne Brockman, LICSW
• Alery Michelle Broderius, RN

• All providers in Spokane, WA
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.