Chad E Brekelbaum (NPI# 1730145954, PAC ID# 7315046612) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1730145954 |
| PAC ID by PECOS | 7315046612 |
| Professional Enrollment ID | I20070627000597 |
| Full Name | Chad E Brekelbaum |
| Organization Legal Name | NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC |
| Address |
5401 Willow Creek Dr Springdale AR 72762-8703 |
| Phone Number | 4795218980 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 1998 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 9739311499 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 040022 | NORTHWEST MEDICAL CENTER-SPRINGDALE |
| 040004 | WASHINGTON REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5401 Willow Creek Dr, Springdale, AR 72762-8703 | 4795218980 | NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC |
| 609 W Maple Ave, Springdale, AR 72764-5335 | 4797574000 | NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 64% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 87% |
| Organization Legal Name | NORTHWEST ARKANSAS UROLOGY ASSOCIATES, PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael R Wilson | Urology | Northwest Arkansas Urology Associates, Pllc | 24 Norris St, Eureka Springs, AR 72632-3541 |
| Nirmal K Kilambi | Urology | Northwest Arkansas Urology Associates, Pllc | 5401 Willow Creek Dr, Springdale, AR 72762-8703 |
| Street Address |
5401 WILLOW CREEK DR |
| City | SPRINGDALE |
| State | AR |
| Zip | 72762-8703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert G Taylor | Plastic and Reconstructive Surgery | 5401 Willow Creek Dr, Springdale, AR 72762-8703 | |
| Nirmal K Kilambi | Urology | Northwest Arkansas Urology Associates, Pllc | 5401 Willow Creek Dr, Springdale, AR 72762-8703 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Julie Rogerson | Physical Therapy | 4001 Wagon Wheel Rd, Apexnetwork Physical Therapy, Springdale, AR 72762-0137 | |
| David B Williamson | Physical Therapy | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 | |
| Kyle Andrew Ford | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Brandon P Jones | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Meredith R Grubbs | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| Valerie A Miller | Physical Therapy | Rpi Rehab Operations, LLC | 5230 Willow Creek Dr, Suite 102, Springdale, AR 72762-0876 |
| John H Kendrick | General Surgery | 5230 Willow Creek Dr, Suite 201, Springdale, AR 72762-0899 | |
| Edward R Virgil | Chiropractic | 7253 W Sunset Ave, Suite I, Springdale, AR 72762-0991 | |
| Rick Weum | Chiropractic | 2109 W Huntsville Ave, Springdale, AR 72762-2833 | |
| Matthew R. Patoka | Family Medicine | Northwest Physicians LLC | 4077 Elm Springs Rd, Springdale, AR 72762-3748 |
| Find all physicians in zip 72762 | |||
| City | SPRINGDALE |
| Zip Code | 72762 |
| Specialty | UROLOGY |
| City + Specialty | SPRINGDALE + UROLOGY |
Please comment or provide details below to improve the information on Chad E Brekelbaum.
| 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.