NPI 1972090363 · live from the CMS NPI Registry
Robert Brenteson, MD
Radiology, Diagnostic Radiology in Anchorage, AK. National Provider Identifier 1972090363, active.
NPI record
| NPI | 1972090363 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2751 Debarr Rd Ste 360, Anchorage, AK 99508 |
| Practice phone | 907-792-7920 |
| Mailing address | 10080 E Valley Crest Dr, Palmer, AK 99645 |
| Enumerated | April 20, 2018 |
| Last updated | August 16, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | 81389 (WI) |
| Radiology, Diagnostic Radiology | 2085R0202X | 27426 (MS) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 210633 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.