Roger Malcom Brecheen (NPI# 1720039357, PAC ID# 3375552276) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1720039357 |
| PAC ID by PECOS | 3375552276 |
| Professional Enrollment ID | I20170216002372 |
| Full Name | Roger Malcom Brecheen |
| Organization Legal Name | CENTRAL PENINSULA GENERAL HOSPITAL INC. |
| Address |
254 N Binkley St Soldotna AK 99669-7522 |
| Phone Number | 9077145300 |
| Gender | M |
| Credential | MD |
| Medical School | STANFORD UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 4587552575 |
| Number of Group Practice Members | 48 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020024 | CENTRAL PENINSULA GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 254 N Binkley St, Soldotna, AK 99669-7522 | 9077145300 | CENTRAL PENINSULA GENERAL HOSPITAL INC. |
| Organization Legal Name | CENTRAL PENINSULA GENERAL HOSPITAL INC. |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lori Kristine Lindsay | Obstetrics/gynecology | Central Peninsula General Hospital Inc. | 108 E Corral Ave, Soldotna, AK 99669-7524 |
| Theresa C Chihuly | Certified Registered Nurse Anesthetist (crna) | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Kristin M Mitchell | Internal Medicine | Central Peninsula General Hospital Inc. | 240 Hospital Pl, Soldotna, AK 99669-7559 |
| Kathryn A Flores | Nurse Practitioner | Central Peninsula General Hospital Inc. | 245 N Binkley St, Soldotna, AK 99669-7500 |
| Christine M Babcock | Nurse Practitioner | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Katherine M F Becher | Nurse Practitioner | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Amanda Lee | Certified Registered Nurse Anesthetist (crna) | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Gregg K Motonaga | Anesthesiology | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Aaron M Wonnacott | Emergency Medicine | Central Peninsula General Hospital Inc. | 250 Hospital Pl, Soldotna, AK 99669-7559 |
| Michael Brandon Hall | Family Medicine | Central Peninsula General Hospital Inc. | 506 Lake St, Kenai, AK 99611-6937 |
| Street Address |
254 N BINKLEY ST |
| City | SOLDOTNA |
| State | AK |
| Zip | 99669-7522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jill Skidmore-erickson | Physical Therapy | Alaskan Physical Therapy, Inc | 36275 Kenai Spur Hwy, Soldotna, AK 99669-7157 |
| Kristin L Eastman | Dermatology | 209 W Katmai Ave, Soldotna, AK 99669-7409 | |
| Ken Youngberg | Clinical Social Worker | 232 W Rockwell Ave, Soldotna, AK 99669-7411 | |
| Aaron Haynes | Hospitalist | South Sound Inpatient Physicians Pllc | 232 W Rockwell Ave, Soldotna, AK 99669-7411 |
| Christina M Turknett | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Lavern R Davidhizar | Family Medicine | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Patty Marie Bilbrey | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Solomon M Pearce | Physical Medicine and Rehabilitation | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Evelyn Louise Clough | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Carol M James | Nurse Practitioner | Family Medical Clinic | 206 W Rockwell Ave, Suite 100, Soldotna, AK 99669-7439 |
| Find all physicians in zip 99669 | |||
| City | SOLDOTNA |
| Zip Code | 99669 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | SOLDOTNA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Roger Malcom Brecheen.
| 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.