Bret J Rodgers (NPI# 1396763272, PAC ID# 7517948714) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1396763272 |
| PAC ID by PECOS | 7517948714 |
| Professional Enrollment ID | I20040525000773 |
| Full Name | Bret J Rodgers |
| Address |
1210 Nw 16th St Fruitland ID 83619-2202 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, PLASTIC AND RECONSTRUCTIVE SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 130006 | ST LUKE'S REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6077 N Eagle Rd, Boise, ID 83713-0997 | ||
| 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Street Address |
1210 NW 16TH ST |
| City | FRUITLAND |
| State | ID |
| Zip | 83619-2202 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric Scholten | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Brett C Johnson | Family Medicine | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Wendi M Norris | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| William J Dittrich | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Patrick D Weis | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| David E Fonseca | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Sogol Nowbar | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Michael S Morris | Urology | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Shannon R Vaughn | Nurse Practitioner | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Davis T Katseanes | Obstetrics/gynecology | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jock C Perkins | Physician Assistant | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| David J Owens | Chiropractic | 2007 N Whitley Dr, Fruitland, ID 83619-2132 | |
| Brock Arben Andersen | Dermatology | Snake River Dermatology, Pa | 2101 N Whitley Dr, Fruitland, ID 83619-2132 |
| Amanda K Crisler | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Candice L Louise | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Todd A Salzsieder | Physician Assistant | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Sarah A Andrade | Clinical Social Worker | Lifeways, Inc | 1611 N Whitley Dr, Fruitland, ID 83619-2180 |
| Si R Steinberg | Psychiatry | Lifeways, Inc | 1611 N Whitley Dr, Suite 7, Fruitland, ID 83619-2180 |
| Michael A Duncan | Chiropractic | 1710 N Whitley Dr, Suite C, Fruitland, ID 83619-2183 | |
| Matthew L Divietro | Pulmonary Disease | St Lukes Clinic-treasure Valley LLC | 1210 Nw 16th St, Fruitland, ID 83619-2202 |
| Find all physicians in zip 83619 | |||
| City | FRUITLAND |
| Zip Code | 83619 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | FRUITLAND + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Bret J Rodgers.
| 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.