Brian D Jenkins (NPI# 1497725295, PAC ID# 9537330683) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
| Nation Provider ID (NPI) | 1497725295 |
| PAC ID by PECOS | 9537330683 |
| Professional Enrollment ID | I20110921000096 |
| Full Name | Brian D Jenkins |
| Organization Legal Name | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Address |
1716 Lawrence Dr De Pere WI 54115-9108 |
| Phone Number | 8002011194 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | NEUROLOGY |
| Group Practice PAC ID | 6204740186 |
| Number of Group Practice Members | 43 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520045 | THEDA CLARK MEDICAL CENTER |
| 520160 | THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC |
| Address | Phone | Organization |
|---|---|---|
| 1818 N Meade St, Appleton, WI 54911-3454 | 9207259373 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 1716 Lawrence Dr, De Pere, WI 54115-9108 | 8002011194 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 130 2nd St W Pavillion 2nd Floor, Neenah, WI 54956-2883 | 9207259373 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| 1305 W American Dr, Neenah, WI 54956-1993 | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Organization Legal Name | THE NEUROSCIENCE GROUP OF NORTHEAST WISCONSIN SC |
| Physicians | 44 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel L Long | Neurology | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Maria T Joseph | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Daniel R Dahle | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Kimberly R Karrmann | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Benjamin R Siebert | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Sandra L Walters | Physical Therapy | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Bethany R Rothe | Physician Assistant | The Neuroscience Group of Northeast Wisconsin Sc | 1506 S Oneida St, Appleton, WI 54915-1305 |
| Douglas A Bartelt | Nurse Practitioner | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Juan A Albino Rodriguez | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 191 Memorial Dr, Berlin, WI 54923-1243 |
| Arienne L Krizenesky | Physical Medicine and Rehabilitation | The Neuroscience Group of Northeast Wisconsin Sc | 1305 W American Dr, Neenah, WI 54956-1993 |
| Street Address |
1716 LAWRENCE DR |
| City | DE PERE |
| State | WI |
| Zip | 54115-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Richard Greene | Neurosurgery | The Neuroscience Group of Northeast Wisconsin Sc | 1716 Lawrence Dr, De Pere, WI 54115-9108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cory D Madison | Chiropractic | 1251 Scheuring Rd, Suite A, De Pere, WI 54115-1003 | |
| Michael David Harkins | Chiropractic | 1251 Scheuring Rd A, De Pere, WI 54115-1003 | |
| Frances Stahl Ballo | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David E Bertler | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Beth Schroth-seiler | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Bridget M Kilbride | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kenneth J Pechman | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| David M Kuphal | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Kurt S Holst | Physician Assistant | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| John S Pujals | Dermatology | Forefront Dermatology Sc | 1400 Scheuring Rd, De Pere, WI 54115-1067 |
| Find all physicians in zip 54115 | |||
| City | DE PERE |
| Zip Code | 54115 |
| Specialty | NEUROLOGY |
| City + Specialty | DE PERE + NEUROLOGY |
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| 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.