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Brandt C Mohr

  • Male

Medical Specialty

Professional ID

  • NPI: 1134239965
  • PECOS ID: 6002966009
  • Enrollment ID: I20090612000527
  • Credential(MD, DO, DPM):
  • Medical School: University Of Washington School Of Medicine
  • Medical School Graduation Year: 2002

Hospital Service

  • Hospital CCN1: 500002
  • Business Name (LBN)1: Providence St Mary Medical Center
  • Hospital CCN2: 500026
  • Business Name (LBN)2: Swedish Edmonds Hospital
  • Hospital CCN3: 500014
  • Business Name (LBN)3: Providence Regional Medical Center Everett
  • Hospital CCN4: 500152
  • Business Name (LBN)4: Swedish Issaquah
  • Hospital CCN5: 500124
  • Business Name (LBN)5: Evergreenhealth Medical Center

Medical Practices

  • Organization Name: Providence Health And Services - Washington
  • Group Practice ID assigned by PECOS: 2860552973
  • Number of Group Practice member: 117

Location

  • Address1: 401 W Poplar St
  • Address2: Pmg Se Wa
  • City: Walla Walla
  • State: Washington
  • Zip Code: 99362
  • Phone Number: (509)525-3320

Medical Practices

  • Organization Name: Swedish Health Services
  • Group Practice ID assigned by PECOS: 3173433067
  • Number of Group Practice member: 47

Location

  • Address1: 18100 Ne Union Hill Rd
  • Address2:
  • City: Redmond
  • State: Washington
  • Zip Code: 98052
  • Phone Number: (425)498-2030

Medical Practices

  • Organization Name: Evergreen Radia Llc
  • Group Practice ID assigned by PECOS: 4587568076
  • Number of Group Practice member: 92

Location

  • Address1: 11521 Ne 128th St
  • Address2: Suite 200
  • City: Kirkland
  • State: Washington
  • Zip Code: 98034
  • Phone Number: (425)952-6100

Medical Practices

  • Organization Name: Swedish Radia Imaging Center At Edmonds Llc
  • Group Practice ID assigned by PECOS: 5496778292
  • Number of Group Practice member: 85

Location

  • Address1: 21700 Hwy 99
  • Address2:
  • City: Edmonds
  • State: Washington
  • Zip Code: 98026
  • Phone Number: (425)297-6200

Medical Practices

  • Organization Name: Okanogan County Public Hospital District No. 3
  • Group Practice ID assigned by PECOS: 6800707951
  • Number of Group Practice member: 77

Location

  • Address1: 810 Jasmine St
  • Address2:
  • City: Omak
  • State: Washington
  • Zip Code: 98841
  • Phone Number: (509)826-1760

Medical Practices

  • Organization Name: Kennewick Radiology Group Pc
  • Group Practice ID assigned by PECOS: 9335230549
  • Number of Group Practice member: 6

Location

  • Address1: 3810 Plaza Way
  • Address2:
  • City: Kennewick
  • State: Washington
  • Zip Code: 99338
  • Phone Number: (509)585-5532

Location

  • Address1: 900 S Auburn St
  • Address2:
  • City: Kennewick
  • State: Washington
  • Zip Code: 99336
  • Phone Number: (509)586-5953

Medical Practices

  • Organization Name: Swedish Health Services
  • Group Practice ID assigned by PECOS: 9537072814
  • Number of Group Practice member: 368

Location

  • Address1: 3400 California Ave Sw
  • Address2:
  • City: Seattle
  • State: Washington
  • Zip Code: 98116
  • Phone Number: (206)320-3399

Medical Practices

  • Organization Name: Wenatchee Valley Hospital
  • Group Practice ID assigned by PECOS: 9537309869
  • Number of Group Practice member: 575

Location

  • Address1: 820 N Chelan Ave
  • Address2:
  • City: Wenatchee
  • State: Washington
  • Zip Code: 98801
  • Phone Number: (509)663-8711

Medical Practices

  • Organization Name: Radia Inc Ps
  • Group Practice ID assigned by PECOS: 9931012812
  • Number of Group Practice member: 170

Location

  • Address1: 19020 33 Rd Ave W
  • Address2: Suite 210
  • City: Lynnwood
  • State: Washington
  • Zip Code: 98036
  • Phone Number: (425)563-1500

Location

  • Address1: 8301 161st Ave Ne
  • Address2: Suite 104
  • City: Redmond
  • State: Washington
  • Zip Code: 98052
  • Phone Number: (425)895-4810

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
  • Used Electronic health record (EHR):