JAN H BREKKE MD NPI 1083603039

NPI Information

  • NPI: 1083603039
  • Provider Name: JAN H BREKKE, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5322 W NORTHERN AVE
    GLENDALE, AZ
    ZIP 85301
  • Phone: (480) 425-5063

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NPI Details

Jan H Brekke, MD is a diagnostic radiology radiology in Glendale, AZ with 33 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jan H Brekke, MD NPI is 1083603039. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduation Year:1993

The provider's business location address is:

5322 W NORTHERN AVE
GLENDALE, AZ
ZIP 85301-405
Phone: (480) 425-5063
Fax: (623) 915-6924

The NPI 1083603039 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of abdomen, 1 view (HCPCS:74018)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of hip, 2-3 views (HCPCS:73502)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of pelvis, 1-2 views (HCPCS:72170)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • X-ray of upper spine, 2-3 views (HCPCS:72040)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • X-ray of knee, 1-2 views (HCPCS:73560)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Ultrasound of both sides of head and neck blood flow (HCPCS:93880)
  • X-ray of shoulder, 1 view (HCPCS:73020)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes (HCPCS:99152)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of blood vessels of chest with contrast (HCPCS:71275)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Limited ultrasound scan of abdomen (HCPCS:76705)

The enumeration date for this NPI number is 10/20/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology27440ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1476079OTHERARIZONAAHCCCS
2279294MEDICARE ID-TYPE UNSPECIFIEDARIZONA
328532OTHERARIZONAVRL
4H00839MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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