Individual provider Active NPI

Brandon David Jensen, DO

  • Internal Medicine Physician
  • Henderson, NV
National Provider Identifier
1821476797
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
SL1078 Issued in NV
Practice address
2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722
Phone
(702) 990-0622
Fax
(702) 938-1473
NPI assigned
May 12, 2015
Last updated
Mar 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X SL1078 NV Primary

Addresses

Primary practice location

2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722

Mailing address

2450 W Horizon Ridge Pkwy Ste 150
Henderson, NV 89052-2722
Phone (702) 990-0622

Other practice location 1

802 W Colton Ave Ste E
Redlands, CA 92374-2905
Phone (909) 478-7951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20180530000620 NV Practitioner - Internal Medicine 3779892120 Reassigns benefits to 2 organizations
I20230622002648 CA Practitioner - HospitalistPractitioner - Internal Medicine 3779892120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
DLR Family Medicine Medical Group, PCGroup PAC ID 0345683082, 10 clinicians
Concierge Care Physicians LLPGroup PAC ID 3678578051, 3 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians

Practice addresses (Care Compare)

101 E Redlands Blvd
Suite 106
Redlands, CA 92373-4723
Phone (909) 335-5799

11985 4TH St
Suite 102
Yucaipa, CA 92399-2727
Phone (909) 478-7951

2450 W Horizon Ridge Pkwy
Suite 150
Henderson, NV 89052-2722
Phone (702) 990-0622

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5593

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
98.26
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
SL1078NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Care Physicians, LLP Internal Medicine CurrentSince Jun 1, 2022 Accepting new patients
DLR Family Medicine Medical Group PC Internal Medicine CurrentSince Dec 17, 2023 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Darin Rentz DO PC CurrentSince Jun 1, 2023 Accepting new patients
Platinum Hospitalists LLP Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Henderson Hospital Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

802 W Colton Ave
Ste E
Redlands, CA 92374
Phone (909) 335-5799

11985 4th St
Ste 102
Yucaipa, CA 92399
Phone (909) 478-7951

10624 S Eastern Ave
#A955
Henderson, NV 89052
Phone (702) 407-7700

2450 W Horizon Ridge Pkwy
Ste 150
Henderson, NV 89052
Phone (702) 990-0622

7495 W Azure Dr
Ste 209
Las Vegas, NV 89130
Phone (702) 327-6653

Interoperability endpoints

  • Direct secure messaging: brandon.jensen.1@13309.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1566/brand/2/csg/41/fhir/r4

Organizations & group practices 7

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 1

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": "1431388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1821476797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W HORIZON RIDGE PKWY STE 150",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522722",
            "telephone_number": "702-990-0622",
            "fax_number": "702-938-1473"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Colton Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Redlands",
            "state": "CA",
            "postal_code": "923742905",
            "country_code": "US",
            "telephone_number": "909-478-7951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRANDON",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-12",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "SL1078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.