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Brian Derhake

  • Male

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):