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
Sarah A Struthers NephrologyBend 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
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
Kendra Michelle Caudle 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 Catherine O'Brien Nurse PractitionerBend Memorial Clinic PC865 Sw Veterans Way, Redmond, OR 97756-2583
Rebecca Barnhart Kryck Physician AssistantBend Memorial Clinic PC2500 Ne Neff Rd, St. Charles Medical Center Bend, Bend, OR 97701-6015
May S Fan Family PracticeBend Memorial Clinic PC231 E Cascade Ave, Sisters, OR 97759-1140
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Doctors with the same school

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jennifer Marie Wahlquist Physician AssistantSandpoint Family Health Center, PLLC.606 N 3rd Ave, Suite 101, Sandpoint, ID 83864-1594
Michalina Kupsik Surgical OncologyCancer Care Northwest Centers P S601 S Sherman St, Spokane, WA 99202-1311
Cassidy A Ermshar Physician AssistantAmber Campbell Arnp2612 Yelm Hwy Se, Olympia, WA 98501-4826
Anna M Mcluen Family PracticeBlue Mountain Hospital District170 Ford Rd, John Day, OR 97845-2009
Gregory Wolgamot PathologyMattison Pathology, LLP1800 Renaissance Blvd, Suite L100, Edmond, OK 73013-3023
Yevgeniy Y Elikh Family PracticePublic Hospital Dist No 1 Skagit819 S 13th St, Mount Vernon, WA 98274-4112
Grace A Zimmerman Physician AssistantAnchorage Community Mental Health Services Inc4020 Folker St, Anchorage, AK 99508-5321
Amaya Basta Diagnostic RadiologySt Thomas Radiology Associates LLCParagon Med Bldg, 103 52c A Estate Thomas, St Thomas, VI 00802-0001
Joshua Jones PsychiatryProvidence Health and Services - Washington100 Sunset Dr, Frisco, CO 80443-5693
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
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Location Information

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Chelsey D Gallegos Physician AssistantBend 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
Tawnyee Lynne Marzoeki Nurse PractitionerBend 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
Alice Tran Family PracticeBend 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
Lindsey Sage Cabrera Nurse PractitionerBend Memorial Clinic PC1501 Ne Medical Ctr Dr, Bend, OR 97701-6051
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
Kendra Michelle Caudle Nurse PractitionerBend 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
Annemieke Mattanja Austin Family MedicinePraxis Medical Group Inc2175 Nw Shevlin Park Rd, Bend, OR 97701
Elizabeth A Leeberg Clinical Psychologist223 Se Davis Ave, Bend, OR 97701-1333
Katrina Cypcar Physician AssistantNeuromusculoskeletal 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
Glenn J Asti Chiropractic1052 Nw Newport Ave, Suite 101, Bend, OR 97701-1679
Jesse Leigh Kratz Mental Health CounselorDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Connor King Orthopedic SurgeryNeuromusculoskeletal Center of The Cascades PC1501 Ne Medical Clinic Dr, Bend Memorial Clinic, Bend, OR 97701
Lindsey Lee Henderson Nurse PractitionerDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Amy R. Noonan Occupational TherapyDeschutes County Oregon1128 Nw Harriman St, Bend, OR 97701-1947
Jennifer E Troth Physical TherapyMobile Physical Therapy, LLC1031 Nw Kingston Ave, Bend, OR 97701-0001
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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
Thomas Dale Dewall ChiropracticRebrovich and Whalen Chiropractic Ltd18322 Joplin St Nw, Elk River, MN 55330-1773
Erwin Dale Thomas Family PracticeCity Medical of Upper East Side PLLC3111 Steinway St, Astoria, NY 11103-3908
Dale Yoo Cardiac ElectrophysiologyHeart Rhythm Specialists PLLC4500 Hillcrest Rd, Suite 100, Frisco, TX 75035-5419
Thomas Dale Barefoot AnesthesiologyAssociated Anesthesiologists, Inc.6839 S Canton Ave, Tulsa, OK 74136-3402
Dale Thomas Landry Jr. Orthopedic SurgeryOrthopaedic Associates, Pa1034 Mar Walt Dr, Unit 100, Fort Walton Beach, FL 32547-6637
Dale J Cox Otolaryngology198 Cherry Ave, Porterville, CA 93257-3506
Dale Lee Pediatric MedicineThe Association of Chrmc and University Physicians4800 Sand Point Way Ne, Seattle, WA 98105-3901
Timothy Brieske Family PracticeNorthern Inyo Healthcare District150 Pioneer Ln, Bishop, CA 93514-2556
Hollie Brieske Nurse PractitionerSelect Physical Therapy of West Denver Limited Partnership400 Indiana St, Suite 340, Golden, CO 80401-5033

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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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