Brian K Jorgensen, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25981 Issued in AZ

Practice address

18404 N Tatum Blvd
Suite 205
Phoenix, AZ 85032-1509

Phone

(602) 971-5500

Fax

(602) 944-0504

NPI assigned

Aug 4, 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 2

Medicare fee-for-service enrollment

Enrolled in AZ

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 1

Specialty

Internal Medicine

Education

Wayne State University School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tatum Ridge Internal Medicine PLCGroup PAC ID 6901890821, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Honor Health John C. Lincoln Medical Center Hospital, Phoenix, AZ, CCN 030014

Merit-based Incentive Payment System (MIPS)

Final score

88.93 of 100Reported as group

Quality

95.04

Promoting interoperability

100

Improvement activities

40

Cost

68.07

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Tatum Ridge Internal Medicine PLC

  • Internal Medicine Physician
  • Phoenix, AZ
  • NPI 1083622997
  Medicare reassignment Care Compare group NPD

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

• Honorhealth

  • General Acute Care Hospital
  • Phoenix, AZ
  • NPI 1770690695
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301443200000",
    "number": "1730197658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 N TATUM BLVD",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850321509",
            "telephone_number": "602-971-5500",
            "fax_number": "602-944-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGENSEN",
        "first_name": "BRIAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2011-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "25981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110213981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "25981",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Jordan, L.P.N
• Tamera B Jordan, MD
• Laura J Jordon, SLPA
• Ivette Jorge, D.M.D, M.P.H
• Jillian Ruth Jorgensen-Wolf
• James Robert Jorgensen, D.D.S.
• Scott Andrew Jorgensen, M.D.
• Seth M Jorgensen, D.D.S.
• Jessica Jorgenson, RD, LD
• Nicole Renee Jorgenson, PA-C

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; 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.