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

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
Kendra Michelle Caudle Nurse PractitionerBend 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
Elena Salpas Physician AssistantBend 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
Jennifer Burtner Emergency MedicineBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
May S Fan Family PracticeBend Memorial Clinic PC231 E Cascade Ave, Sisters, OR 97759-1140
Tawnyee Lynne Marzoeki Nurse PractitionerBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Mark R Burge EndocrinologyBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
Sarah Catherine O'Brien Nurse PractitionerBend Memorial Clinic PC865 Sw Veterans Way, Redmond, OR 97756-2583
Scout Fallon Gregerson Physician AssistantBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
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Doctors with the same school

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Jennifer Marie Wahlquist Physician AssistantSandpoint Family Health Center, PLLC.606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594
Paul Mack Physician AssistantBullhead Urgent Care Coporation1355 Ramar Rd, Suite 11, Bullhead City, AZ 86442-7100
Jenny Duong-Bui Physical TherapyOutpatient Physical Therapy and Sports Rehabilitation Inc PC26837 Maple Valley Black Diamond Rd Se, Suite 200, Maple Valley, WA 98038-9917
Gregory Wolgamot PathologyMattison Pathology, LLP1800 Renaissance Blvd, Suite L100, Edmond, OK 73013-3023
Francisco Alberto Perez Diagnostic RadiologyTexas Childrens Physician Group6651 Main St, Houston, TX 77030-2351
Yevgeniy Y Elikh Family PracticePublic Hospital Dist No 1 Skagit819 S 13th St, Mount Vernon, WA 98274-4112
Bhasker Koppula Diagnostic RadiologyTra-Minw P S4707 Crestway Dr, Austin, TX 78731-4712
Arthur Griffin Physician AssistantPlatte Valley Medical Group LLC16570 Washington St, Scl Health Medical Group Orthopedics Larkridge, Thornton, CO 80023-8964
Anton Victor Clark Physician AssistantOrthoalaska LLC3801 Lake Otis Pkwy, Suite 300, Anchorage, AK 99508-5234
Grace A Zimmerman Physician AssistantAnchorage Community Mental Health Services Inc4020 Folker St, Anchorage, AK 99508-5321
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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
Scout Fallon Gregerson 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
Lindsey Sage Cabrera Nurse PractitionerBend 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
Sarah A Struthers NephrologyBend 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
Katie T Kahl Nurse PractitionerBend 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
Terry Rolan NeurologyBend 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
Elizabeth A Leeberg Clinical Psychologist223 Se Davis Ave, Bend, OR 97701-1333
Lindsey Lee Henderson Nurse PractitionerDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Jennifer H Mccleery Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Colin Robert Elie Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Lance Adams Hospitalist20700 Wandalea Dr, Bend, OR 97701-1594
Jesse Leigh Kratz Mental Health CounselorDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Glenn J Asti Chiropractic1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679
Connor King Orthopedic SurgeryNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Maria T Allen Physician AssistantNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Jennifer Lynn Mario Clinical Social WorkerDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
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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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