Brent Wilkerson (NPI# 1407167489, PAC ID# 2365732377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1407167489 |
| PAC ID by PECOS | 2365732377 |
| Professional Enrollment ID | I20190517000742 |
| Full Name | Brent Wilkerson |
| Organization Legal Name | REGIONAL WEST PHYSICIANS CLINIC |
| Address |
2 W 42nd St Suite 1100 Scottsbluff NE 69361-4610 |
| Phone Number | 3086353155 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 2062301609 |
| Number of Group Practice Members | 123 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230019 | PROVIDENCE HOSP AND MED CTRS |
| 280061 | REGIONAL WEST MEDICAL CENTER |
| 230070 | COVENANT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 30055 Northwestern Hwy 101, Farmington Hills, MI 48334-3260 | 2488654444 | MICHIGAN EAR INSTITUTE PLLC |
| 26850 Providence Pkwy, Suite 130, Novi, MI 48374-1253 | 2488654444 | MICHIGAN EAR INSTITUTE PLLC |
| 2 W 42nd St, Suite 1100, Scottsbluff, NE 69361-4610 | 3086353155 | REGIONAL WEST PHYSICIANS CLINIC |
| Organization Legal Name | REGIONAL WEST PHYSICIANS CLINIC |
| Physicians | 111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Moneera N Haque | Hospitalist | Regional West Physicians Clinic | 4021 Ave B, Scottsbluff, NE 69361-4695 |
| Michaela Katz | Physician Assistant | Regional West Physicians Clinic | 3911 Ave B, Scottsbluff, NE 69361-4617 |
| Serozan Amroliwalla | Internal Medicine | Regional West Physicians Clinic | 1275 Sage St, Gering, NE 69341-3227 |
| Ronald B Strachan | Nurse Practitioner | Regional West Physicians Clinic | 3011 Ave B, Scottsbluff, NE 69361-4372 |
| John E Blomstedt | Dermatology | Regional West Physicians Clinic | 1313 S St, Bridgeport, NE 69336-2563 |
| Mark R Scanlan | Psychiatry | Regional West Physicians Clinic | 2 W 42nd St, Suite 3200, Scottsbluff, NE 69361-4669 |
| Vincent Gene Bjorling | Medical Oncology | Regional West Physicians Clinic | 830 Pine St, Sidney, NE 69162-2284 |
| Rajendra K Motwani | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
| Patrick Brown | Family Medicine | Regional West Physicians Clinic | 3911 Ave B, Suite 3400, Scottsbluff, NE 69361-4617 |
| Janielle Hyde | Neurology | Regional West Physicians Clinic | 3911 Ave B, Suite 2300, Scottsbluff, NE 69361-4617 |
| Street Address |
2 W 42ND ST SUITE 1100 |
| City | SCOTTSBLUFF |
| State | NE |
| Zip | 69361-4610 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark R Scanlan | Psychiatry | Regional West Physicians Clinic | 2 W 42nd St, Suite 3200, Scottsbluff, NE 69361-4669 |
| Rajendra K Motwani | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
| Prouskeh Bruce Ebrahimpour | Orthopedic Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 |
| Michal L Taylor | Sports Medicine | Regional West Physicians Clinic | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 |
| Mark Lee Willats | Podiatry | 2 W 42nd St, Suite 2700, Scottsbluff, NE 69361-4660 | |
| Matthew David Malamet | Plastic and Reconstructive Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3700, Scottsbluff, NE 69361-4669 |
| Jeffrey T Macmillan | Orthopedic Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 |
| Karen Wenner | Nurse Practitioner | Regional West Physicians Clinic | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 |
| Hope Hansen | Nurse Practitioner | Regional West Physicians Clinic | 2 W 42nd St, Suite 120, Scottsbluff, NE 69361-4669 |
| Rommie J Hughes | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3200, Scottsbluff, NE 69361-4669 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Schlothauer | Nurse Practitioner | Regional West Physicians Clinic | 2 W 42nd St, Suite 3500, Scottsbluff, NE 69361-0606 |
| Jeffrey A Holloway | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Bradley K Hertzler | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Joshua L Pringle | General Surgery | Regional West Physicians Clinic | 2 W 42nd St, Suite 3100, Scottsbluff, NE 69361-0612 |
| Jennifer A Cerutti | Urology | Regional West Physicians Clinic | 2 W 42nd St, Suite 3600, Scottsbluff, NE 69361-0618 |
| Jacob J Krieg | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Jon Michael Darnell | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Renell H Sinha | Optometry | Bluffs Vision Care, PC | 416 Valley View Dr, Suite 100, Scottsbluff, NE 69361-1444 |
| Susan Elaine Martinez | Clinical Social Worker | 2626 Broadway, Scottsbluff, NE 69361-1608 | |
| Lori R Rodriquez Fletcher | Clinical Social Worker | Options In Psychology LLC | 2622 Ave C, Scottsbluff, NE 69361-1680 |
| Find all physicians in zip 69361 | |||
| City | SCOTTSBLUFF |
| Zip Code | 69361 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SCOTTSBLUFF + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Brent Wilkerson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.