Active NPI
Robert Brenteson, MD
- Diagnostic Radiology Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 210633
- Practice address
- 2751 Debarr Rd Ste 360
Anchorage, AK 99508-6809 - Phone
- (907) 792-7920
- NPI assigned
- Apr 20, 2018
- Last updated
- Aug 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Alaska Imaging Associates, LLC | Diagnostic Radiology | 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 Corportion | Current | Accepting new patients | |
| Cordova Community Medical Center | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Group Health Cooperative of South Central Wisconsin | 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 | Current | Accepting new patients | |
| Fort Healthcare Inc | Current | Accepting new patients | |
| Anchorage Imaging Center LLC | Diagnostic Radiology | Current | 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 | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Richland Hospital | 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 | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| Bristol Bay Area Health Corporation | Current | Accepting new patients | |
| McKinley Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Fort Healthcare, Inc. | Current | Accepting new patients | |
| Valley Upright Imaging LLC | Diagnostic Radiology | 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 Corportation | Current | Accepting new patients | |
| Bristol Bay Area Health Corportion | Current | Accepting new patients | |
| Alaska Heart Institute | Past | 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
- https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
- 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.
-
dba Northern Lights Imaging
- Diagnostic Radiology Physician
- Anchorage, AK
- NPI 1063466688
-
- Critical Access Hospital
- Cordova, AK
- NPI 1215035787
-
- Otolaryngology Physician
- Fort Atkinson, WI
- NPI 1417993361
-
- Health Maintenance Organization
- Madison, WI
- NPI 1245260165
-
- Critical Access Hospital
- Richland Center, WI
- NPI 1659301273
-
- Cardiovascular Disease Physician
- Anchorage, AK
- NPI 1992744114
-
- Diagnostic Radiology Physician
- Germantown, TN
- NPI 1043260763
-
- Radiology Clinic/Center
- Anchorage, AK
- NPI 1417615543
Diagnostic Radiology
-
- Clinic/Center
- Koliganek, AK
- NPI 1013079607
-
- Clinic/Center
- Ekwok, AK
- NPI 1104988799
-
- Clinic/Center
- Pilot Point, AK
- NPI 1174683825
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Juneau, AK
- NPI 1891849261
-
- Critical Access Hospital
- Dillingham, AK
- NPI 1831270842
-
- Critical Access Hospital
- Dillingham, AK
- NPI 1962688309
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Mat-Su Regional Medical Center
- General Acute Care Hospital
- Palmer, AK
- NPI 1417975061
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.