Brian Derhake
Medical Specialty
Professional ID
- NPI: 1508908781
- PECOS ID: 3072790559
- Enrollment ID: I20110609000534
- Credential(MD, DO, DPM):
- Medical School: University Of Louisville School Of Medicine
- Medical School Graduation Year: 2005
Hospital Service
- Hospital CCN1: 150069
- Business Name (LBN)1: Kings Daughters Health
- Hospital CCN2: 150172
- Business Name (LBN)2: Physicians Medical Center Llc
- Hospital CCN3: 180016
- Business Name (LBN)3: Jewish Hospital - Shelbyville
- Hospital CCN4: 180130
- Business Name (LBN)4: Baptist Health Louisville
- Hospital CCN5: 150044
- Business Name (LBN)5: Floyd Memorial Hospital And Health Services
Medical Practices
- Organization Name: Pain Management Kentucky Psc
- Group Practice ID assigned by PECOS: 3072427574
- Number of Group Practice member: 5
Location
- Address1: 2355 Poplar Level Rd
- Address2: Suite 105
- City: Louisville
- State: Kentucky
- Zip Code: 40217
- Phone Number: (502)636-7660
Medical Practices
- Organization Name: One Anesthesia Pllc
- Group Practice ID assigned by PECOS: 7113816174
- Number of Group Practice member: 130
Location
- Address1: 4000 Kresge Way
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40207
- Phone Number: (502)459-7902
Medical Practices
- Organization Name: M. C. Cronen And Associates Inc., Psc
- Group Practice ID assigned by PECOS: 8325933534
- Number of Group Practice member: 4
Location
- Address1: 252 Whittington Pkwy
- Address2:
- City: Louisville
- State: Kentucky
- Zip Code: 40222
- Phone Number: (502)423-7246
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):