Individual provider Active NPI

Robert Brenteson, MD

  • Diagnostic Radiology Physician
  • Anchorage, AK
National Provider Identifier
1972090363
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
210633 Issued in AK
Practice address
2751 Debarr Rd Ste 360
Anchorage, AK 99508-6809
Phone
(907) 792-7920
NPI assigned
Apr 20, 2018
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 81389 WI
Diagnostic Radiology Physician 2085R0202X 27426 MS
Diagnostic Radiology Physician 2085R0202X 210633 AK Primary

Addresses

Primary practice location

2751 Debarr Rd Ste 360
Anchorage, AK 99508-6809

Mailing address

10080 E Valley Crest Dr
Palmer, AK 99645-7713

Other practice location 1

3745 Geist Rd
Fairbanks, AK 99709-3554
Phone (907) 456-3338

Other practice location 2

3765 E Blue Lupine Dr Ste B
Wasilla, AK 99654-8417
Phone (907) 373-3700

Other practice location 3

2110 E Northern Lights Blvd Ste 101
Anchorage, AK 99508-4154
Phone (907) 644-2997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TN, AK, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230522002796 WI Practitioner - Diagnostic Radiology 4284022898 Reassigns benefits to 3 organizations
I20230627001825 TN Practitioner - Diagnostic Radiology 4284022898 Reassigns benefits to 1 organization
I20240828001473 AK Practitioner - Diagnostic Radiology 4284022898 Reassigns benefits to 4 organizations
I20241205000098 TX Practitioner - Diagnostic Radiology 4284022898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Washington School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alaska Imaging Associates LLCGroup PAC ID 5294633590, 27 clinicians
Cordova Community Medical CenterGroup PAC ID 1759275902, 17 clinicians

Practice addresses (Care Compare)

2751 Debarr Rd
Suite 360
Anchorage, AK 99508-6809
Phone (907) 792-7920

2801 Debarr Rd
Anchorage, AK 99508-2932
Phone (907) 276-1131

3260 Hospital Dr
Juneau, AK 99801-7808
Phone (907) 796-8900

3765 E Blue Lupine Dr
Suite B
Wasilla, AK 99654-8417
Phone (907) 792-7920

6000 Kanakanak Rd
Dillingham, AK 99576-0130
Phone (907) 842-5201

602 Chase Ave
Cordova, AK 99574-0559
Phone (907) 424-8000

P O Box
Dillingham, AK 99576-0130

PO Box
Suite 130
Dillingham, AK 99576-0130
Phone (907) 842-5201

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bristol Bay Area Health Corporation Current Accepting new patients
Alaska Imaging Associates, LLC Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Cordova Community Medical Center CurrentSince Jan 18, 2025 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Jul 2, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Nov 8, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Fort Healthcare Inc CurrentSince Jul 1, 2023 Accepting new patients
Anchorage Imaging Center LLC Diagnostic Radiology CurrentSince Aug 16, 2024 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Richland Hospital CurrentSince Jul 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Richland Hospital CurrentSince Jul 1, 2023 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation CurrentSince Nov 8, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
McKinley Imaging, LLC Diagnostic Radiology CurrentSince Aug 16, 2024 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Valley Upright Imaging LLC Diagnostic Radiology CurrentSince Aug 15, 2024 Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corporation Current Accepting new patients
Bristol Bay Area Health Corportation Current Accepting new patients
Bristol Bay Area Health Corportion Current Accepting new patients
Alaska Heart Institute PastSince Apr 1, 2026 Accepting new patients

Locations

2110 E Northern Lights Blvd
Anchorage, AK 99508
Phone (907) 644-2997

2110 E Northern Lights Blvd
Ste 101
Anchorage, AK 99508
Phone (907) 336-2273

2751 Debarr Rd
Ste 360
Anchorage, AK 99508
Phone (907) 336-3500

2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222

2925 Debarr Rd
Ste 300
Anchorage, AK 99508
Phone (907) 279-3155

4001 Laurel St
Ste 204
Anchorage, AK 99508
Phone (907) 561-1426

3745 Geist Rd
Fairbanks, AK 99709
Phone (907) 456-1112

3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427

2480 S Woodworth Loop
Ste 120
Palmer, AK 99645

2500 S Woodworth Loop
Palmer, AK 99645
Phone (907) 861-6000

3765 E Blue Lupine Dr
Wasilla, AK 99654
Phone (907) 373-9462

3765 E Blue Lupine Dr
Ste B
Wasilla, AK 99654

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

333 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/cordova-527880fe

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 7

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1972090363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10080 E VALLEY CREST DR",
            "city": "PALMER",
            "state": "AK",
            "postal_code": "996457713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 DEBARR RD STE 360",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086809",
            "telephone_number": "907-792-7920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3745 Geist Rd",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997093554",
            "country_code": "US",
            "telephone_number": "907-456-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3765 E Blue Lupine Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548417",
            "country_code": "US",
            "telephone_number": "907-373-3700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2110 E Northern Lights Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995084154",
            "country_code": "US",
            "telephone_number": "907-644-2997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENTESON",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "81389",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MS",
            "license": "27426",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "210633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.