Individual provider Active NPI

Brent Philip Chambers

  • Physician Assistant
  • Orange City, IA
National Provider Identifier
1790487494
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
101 7TH St SW
Orange City, IA 51041-1996
Phone
(712) 707-7000
NPI assigned
Mar 20, 2023
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

101 7TH St SW
Orange City, IA 51041-1996

Mailing address

14131 305TH Ave NW
Princeton, MN 55371-3648
Phone (763) 218-5524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130004047 MN Practitioner - Physician Assistant 5597294843 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River's Edge Hospital and ClinicGroup PAC ID 7214849397, 27 clinicians

Practice addresses (Care Compare)

101 Caring Way
Redwood Falls, MN 56283-2624
Phone (507) 637-4500

1411 Premier Dr
Mankato, MN 56001-6076
Phone (507) 388-6000

1431 Premier Dr
Mankato, MN 56001-6076
Phone (507) 386-6600

1900 Sunrise Dr
Saint Peter, MN 56082-5376
Phone 5079312200605

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
River's Edge Hospital & Clinic CurrentSince Jul 20, 2025 Accepting new patients
Orthopaedic & Fracture Clinic, P.a. CurrentSince Jan 16, 2025 Accepting new patients

Locations

1431 Premier Dr
Mankato, MN 56001
Phone (507) 386-4277

101 Caring Way
Redwood Falls, MN 56283
Phone (507) 637-2911

1900 Sunrise Dr
Saint Peter, MN 56082
Phone (507) 931-2200

Interoperability endpoints

  • Direct secure messaging: bchambers859406@direct.centracare.com
  • Direct secure messaging: brentchambers@ofc.allscriptsdirect.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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679270400000",
    "number": "1790487494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14131 305TH AVE NW",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553713648",
            "telephone_number": "763-218-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 7TH ST SW",
            "city": "ORANGE CITY",
            "state": "IA",
            "postal_code": "510411996",
            "telephone_number": "712-707-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "BRENT",
        "middle_name": "PHILIP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, IA

Sources for this page

Verify at the official NPI Registry.