Overview
Thomas Dale Brieske is a physician assistant enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEND MEMORIAL CLINIC PC. The business address is 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051. Published on January 22, 2024.
Enrollment Information
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
PAC ID | 2860844255 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
Professional Enrollment ID | I20240122002714 |
Full Name | THOMAS DALE BRIESKE |
Gender | M |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Graduation Year | 2023 |
Primary Specialty | PHYSICIAN ASSISTANT |
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Group Practice PAC ID | 7214936533 |
Number of Group Practice Members | 204 |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
Provider Overview
NPI | 1144948803 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES) |
Provider Name | THOMAS DALE BRIESKE |
Address | 815 Sw Bond St Bend OR 97702-3593 |
Taxonomy Code | 363A00000X |
Enumeration Date | 2022-08-18 |
Organization Information
Organization Legal Name | BEND MEMORIAL CLINIC PC |
Address | 1501 Ne Medical Ctr Dr Bend OR 97701-6051 |
Telephone | 5413822811 |
Medical School | UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE |
Doctors with the same organization
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Kendra Michelle Caudle | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
William M Newberry | Medical Oncology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Katie T Kahl | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Lindsey Sage Cabrera | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
May S Fan | Family Practice | Bend Memorial Clinic PC | 231 E Cascade Ave, Sisters, OR 97759-1140 |
Stefani Rocco | Nurse Practitioner | Bend Memorial Clinic PC | 815 Sw Bond St, Suite 100, Bend, OR 97702-3593 |
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Sarah Catherine O'Brien | Nurse Practitioner | Bend Memorial Clinic PC | 865 Sw Veterans Way, Redmond, OR 97756-2583 |
Scout Fallon Gregerson | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Sarah A Struthers | Nephrology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors with the same school
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Cassidy A Ermshar | Physician Assistant | Amber Campbell Arnp | 2612 Yelm Hwy Se, Olympia, WA 98501-4826 |
Anton Victor Clark | Physician Assistant | Orthoalaska LLC | 3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234 |
Gregory Wolgamot | Pathology | Mattison Pathology, LLP | 1800 Renaissance Blvd, Suite L100, Edmond, OK 73013-3023 |
Anna M Mcluen | Family Practice | Blue Mountain Hospital District | 170 Ford Rd, John Day, OR 97845-2009 |
Madisen Eve Robertus | Physician Assistant | Columbia Gorge Medical Center PC | 1750 12th St, Hood River, OR 97031-9540 |
Matthew Perez | Allergy/Immunology | Northwest Asthma and Allergy Center | 8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858 |
Michalina Kupsik | Surgical Oncology | Cancer Care Northwest Centers P S | 601 S Sherman St, Spokane, WA 99202-1311 |
Arthur Griffin | Physician Assistant | Platte Valley Medical Group LLC | 16570 Washington St, Scl Health Medical Group Orthopedics Larkridge, Thornton, CO 80023-8964 |
Amaya Basta | Diagnostic Radiology | St Thomas Radiology Associates LLC | Paragon Med Bldg, 103 52c A Estate Thomas, St Thomas, VI 00802-0001 |
Joshua Jones | Psychiatry | Providence Health and Services - Washington | 100 Sunset Dr, Frisco, CO 80443-5693 |
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Location Information
Street Address | 1501 NE MEDICAL CTR DR |
City | BEND |
State | OR |
Zip Code | 97701-6051 |
Doctors in the same location
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Mark R Burge | Endocrinology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kerry Traugott | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Alice Tran | Family Practice | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Sarah A Struthers | Nephrology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Kendra Michelle Caudle | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Carolyn L Luppens | General Surgery | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Elena Salpas | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Terry Rolan | Neurology | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Juliane Durett | Physician Assistant | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
Lindsey Sage Cabrera | Nurse Practitioner | Bend Memorial Clinic PC | 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 |
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Doctors in the same zip code
Doctor Name | Primary Specialty | Organization Legal Name | Address |
---|---|---|---|
Annemieke Mattanja Austin | Family Medicine | Praxis Medical Group Inc | 2175 Nw Shevlin Park Rd, Bend, OR 97701 |
Jennifer E Troth | Physical Therapy | Mobile Physical Therapy, LLC | 1031 Nw Kingston Ave, Bend, OR 97701-0001 |
Kelly Belczyk | Clinical Social Worker | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Connor King | Orthopedic Surgery | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
Amy R. Noonan | Occupational Therapy | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Colin Robert Elie | Physician Assistant | Neuromusculoskeletal Center of The Cascades PC | 1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701 |
Samuel Robert Murray | Psychiatry | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Glenn J Asti | Chiropractic | 1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679 | |
Brian Wayne Fulmer | Psychiatry | Deschutes County Oregon | 1128 Nw Harriman St, Bend, OR 97701-1947 |
Lance Adams | Hospitalist | 20700 Wandalea Dr, Bend, OR 97701-1594 | |
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Similar Physicians
Doctors with similar names
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Hollie Brieske | Nurse Practitioner | Select Physical Therapy of West Denver Limited Partnership | 400 Indiana St, Suite 340, Golden, CO 80401-5033 |
Dale Yoo | Cardiac Electrophysiology | Heart Rhythm Specialists PLLC | 4500 Hillcrest Rd, Suite 100, Frisco, TX 75035-5419 |
Dale Thomas Clark | Chiropractic | 8907 Warner Ave, Huntington Beach, CA 92647-5099 | |
Dale Lee | Pediatric Medicine | The Association of Chrmc and University Physicians | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 |
Thomas Dale Greene | Optometry | Central Missouri Eyecare Associates LLC | 1445 Christy Dr, Suite A, Jefferson City, MO 65101-2853 |
Dale Y Yu | Cardiovascular Disease (Cardiology) | Southern California Permanente Medical Group | 4867 W Sunset Blvd, Los Angeles, CA 90027-5969 |
Dale F Thomas | Clinical Psychologist | Mayo Clinic Health System-Northwest Wisconsin Region, Inc. | 1400 Bellinger St, Eau Claire, WI 54703-5222 |
Dale Thomas Landry Jr. | Orthopedic Surgery | Orthopaedic Associates, Pa | 1034 Mar Walt Dr, Unit 100, Fort Walton Beach, FL 32547-6637 |
Dale R Thomas Jr. | Clinical Social Worker | Victim Services Inc | 638 Ferndale Ave, Johnstown, PA 15905-3946 |
Timothy Brieske | Family Practice | Northern Inyo Healthcare District | 150 Pioneer Ln, Bishop, CA 93514-2556 |
Improve Information
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Dataset Information
This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
Subject | Transparency and Disclosure |
Jurisdiction | Federal |
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Source | data.cms.gov |
Dataset Details
The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:
- The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
- Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
- Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
- performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
- Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.
This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.