Brent W Mortenson (NPI# 1356369169, PAC ID# 7315954187) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORAL SURGERY.
| Nation Provider ID (NPI) | 1356369169 |
| PAC ID by PECOS | 7315954187 |
| Professional Enrollment ID | I20060320000475 |
| Full Name | Brent W Mortenson |
| Address |
134 Evergreen Rd Suite 103 Louisville KY 40243-1479 |
| Gender | M |
| Credential | DDM |
| Medical School | UNIVERSITY OF LOUISVILLE SCHOOL OF DENTISTRY |
| Graduation Year | 1993 |
| Primary Specialty | ORAL SURGERY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 103 C Michael Davenport Blvd, Suite 3, Frankfort, KY 40601-4492 | 5023522510 | ORAL SURGERY GROUP OF FRANKFORT, PLLC |
| 134 Evergreen Rd, Suite 103, Louisville, KY 40243-1479 |
| Street Address |
134 EVERGREEN RD SUITE 103 |
| City | LOUISVILLE |
| State | KY |
| Zip | 40243-1479 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah G Blair | Psychologist, Clinical | 308 Evergreen Rd, Suite 105, Louisville, KY 40243-1076 | |
| Scott A Young | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1082 | |
| Mark Anthony Williams | Internal Medicine | 12010 Shelbyville Rd, Suite 300, Louisville, KY 40243-1082 | |
| William D Crecelius | Emergency Medicine | Baptist Health Medical Group Inc | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1086 |
| James E Eversole Jr. | Emergency Medicine | Baptist Health Medical Group Inc | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1086 |
| Francis Beng Kiat Ong | General Practice | Baptist Health Medical Group Inc | 12010 Shelbyville Rd, Suite 500, Louisville, KY 40243-1086 |
| Shawn P Martin | Chiropractic | 138 Evergreen Rd, Suite 102, Louisville, KY 40243-1410 | |
| Wayne James Harper | Psychologist, Clinical | 138 Evergreen Rd, Suite 5, Louisville, KY 40243-1410 | |
| Brittney Poppe | Psychologist, Clinical | 11730 Old Shelbyville Rd, Louisville, KY 40243-1482 | |
| Rochelle C Mehl | Psychologist, Clinical | 11730 Old Shelbyville Rd, Louisville, KY 40243-1482 | |
| Find all physicians in zip 40243 | |||
| City | LOUISVILLE |
| Zip Code | 40243 |
| Specialty | ORAL SURGERY |
| City + Specialty | LOUISVILLE + ORAL SURGERY |
Please comment or provide details below to improve the information on Brent W Mortenson.
| 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.