JAN H. BREKKE MD – NPI #1083603039
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

JAN BREKKE is a radiologist located in GLENDALE, AZ. NPPES has assigned the NPI number 1083603039 to JAN BREKKE on October 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JAN BREKKE below.

NPI Profile for
JAN H. BREKKE

NPI Number
1083603039
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JAN H. BREKKE
Credentials
MD
Primary location
5322 W NORTHERN AVE
GLENDALE, AZ 85301-1405
Phone: (480) 425-5063 Fax: (623) 915-6924
Mailing address
Same as primary location
Updated
Identifiers

Identifiers for JAN BREKKE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERAHCCCSAZ476079
OTHERVRLAZ28532
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
AZ 27440

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE - Graduated 1993
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JAN BREKKE is affiliated with the following medical group(s):
  • HOSPITAL
    • BERLIN MEMORIAL HOSPITAL
      225 MEMORIAL DRIVE
      BERLIN, WI 54923
    • THEDACARE MEDICAL CENTER - SHAWANO
      100 COUNTY RD B
      SHAWANO, WI 54166
    • THEDACARE REGIONAL MED CTR - NEENAH
      130 2ND ST
      NEENAH, WI 54956
    • THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC
      1818 N MEADE ST
      APPLETON, WI 54911

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