Thomas Dale Brieske · 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 · Physician Assistant · Bend Memorial Clinic PC (2024)

Medicare Doctors and Clinicians

5413822811 · Physician Assistant · 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051

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 NamePrimary SpecialtyOrganization Legal NameAddress
Mark R Burge EndocrinologyBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Stefani Rocco Nurse PractitionerBend Memorial Clinic PC815 Sw Bond St, Suite 100, Bend, OR 97702-3593
William M Newberry Medical OncologyBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Sarah A Struthers NephrologyBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Katie T Kahl Nurse PractitionerBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Lindsey Sage Cabrera Nurse PractitionerBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Shelby J Subry Physician AssistantBend Memorial Clinic PC2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015
Elena Salpas Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Jennifer Burtner Emergency MedicineBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Steven A Wahls Family PracticeBend Memorial Clinic PC333 Nw Larch Ave, Suite 2, Redmond, OR 97756-1186
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Doctors with the same school

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Gregory Wolgamot PathologyMattison Pathology, LLP1800 Renaissance Blvd, Suite L100, Edmond, OK 73013-3023
Grace A Zimmerman Physician AssistantAnchorage Community Mental Health Services Inc4020 Folker St, Anchorage, AK 99508-5321
Madisen Eve Robertus Physician AssistantColumbia Gorge Medical Center PC1750 12th St, Hood River, OR 97031-9540
Shana Fogarty Internal MedicineCogent Healthcare of Montana P C1301 E Broadway St, Missoula, MT 59802-4905
Joshua Jones PsychiatryProvidence Health and Services - Washington100 Sunset Dr, Frisco, CO 80443-5693
Jennifer Marie Wahlquist Physician AssistantSandpoint Family Health Center, PLLC.606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594
Anna M Mcluen Family PracticeBlue Mountain Hospital District170 Ford Rd, John Day, OR 97845-2009
Yevgeniy Y Elikh Family PracticePublic Hospital Dist No 1 Skagit819 S 13th St, Mount Vernon, WA 98274-4112
Matthew Perez Allergy/ImmunologyNorthwest Asthma and Allergy Center8301 161st Ave Ne, Suite 308, Redmond, WA 98052-3858
Amaya Basta Diagnostic RadiologySt Thomas Radiology Associates LLCParagon Med Bldg, 103 52c A Estate Thomas, St Thomas, VI 00802-0001
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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 NamePrimary SpecialtyOrganization Legal NameAddress
Alexa Erin Rawlins Family PracticeBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Carolyn L Luppens General SurgeryBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Elena Salpas Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Kerry Traugott Nurse PractitionerBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Chelsey D Gallegos Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Jeremy Feldman Pulmonary DiseaseBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Juliane Durett Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Scout Fallon Gregerson Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Kaylie M Laplante Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Alice Tran Family PracticeBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
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Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Glenn J Asti Chiropractic1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679
Colin Robert Elie Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Elizabeth A Leeberg Clinical Psychologist223 Se Davis Ave, Bend, OR 97701-1333
Maria T Allen Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Jennifer E Troth Physical TherapyMobile Physical Therapy, LLC1031 Nw Kingston Ave, Bend, OR 97701-0001
Samuel Robert Murray PsychiatryDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Lance Adams Hospitalist20700 Wandalea Dr, Bend, OR 97701-1594
Katrina Cypcar Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Lisa J Uri Family PracticePraxis Medical Group Inc2175 Nw Shevlin Park Rd, Bend, OR 97701
Lindsey Lee Henderson Nurse PractitionerDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Dale Han Surgical OncologyOregon Health and Sciences University/University Medical Group3303 S Bond Ave, Portland, OR 97239-4501
Dale Y Yu Cardiovascular Disease (cardiology)Southern California Permanente Medical Group4867 W Sunset Blvd, Los Angeles, CA 90027-5969
Thomas Dale Barefoot AnesthesiologyAssociated Anesthesiologists, Inc.6839 S Canton Ave, Tulsa, OK 74136-3402
Timothy Brieske Family PracticeNorthern Inyo Healthcare District150 Pioneer Ln, Bishop, CA 93514-2556
Dale Thomas Clark Chiropractic8907 Warner Ave, Huntington Beach, CA 92647-5099
Thomas Dale Greene OptometryCentral Missouri Eyecare Associates LLC1445 Christy Dr, Suite A, Jefferson City, MO 65101-2853
Thomas Dale Godfrey Nurse PractitionerPrisma Health University Medical Group210 Freeman Farm Rd, Duncan, SC 29334-9398
Dale Thomas Landry Jr. Orthopedic SurgeryOrthopaedic Associates, Pa1034 Mar Walt Dr, Unit 100, Fort Walton Beach, FL 32547-6637
Thomas Dale Johnson GastroenterologyMcfarland Clinic PC3500 University Blvd, Suite 1001, Ames, IA 50010-3014
Thomas A Dale II Family PracticeKentucky Orthopedic Rehabilitation LLC836 Euclid Ave, Suite 104, Lexington, KY 40502-1783

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.

Thomas Dale Brieske · 1501 Ne Medical Ctr Dr, Bend, OR 97701-6051 · Physician Assistant · Bend Memorial Clinic PC (2024)
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