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Ryan L. Brenchley

Emergency Medicine

Allopathic & Osteopathic Physicians

4445 Magnolia Ave, Riverside, CA 92501-4135

PECOS Enrollment

This provider is enrolled in PECOS as RYAN BRENCHLEY.

Based on the most recent information from CMS, provider Ryan L. Brenchley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1154437390
Provider Type
Individual
Full Name
Brenchley, Ryan L.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/21/2006
Last Updated
7/18/2008

Contact Information

Practice Location

4445 Magnolia Ave, Riverside, CA 92501-4135

(909) 788-3000

Unlisted Fax

Mailing Location

2100 Powell St, Ste 900, Emeryville, CA 94608-1826

(510) 350-2600

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207P00000X Primary	Description Emergency Medicine Allopathic & Osteopathic Physicians	License A69974 California

Provider Identifiers

ID	Description	Issuer
ID 00A699740	Description Medicaid	Issuer Unlisted California

Ryan L. Brenchley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Ng, Daniel

Woodhouse, Ernest

An, Jason K

Gustafsson, Bo Marcus

Carlson, Ryan Arvid

Chan, Eugene T.

Huynh, Christine Mei

Khan, Zara

Voth, Marcus Theodore

Nguyen, Thien Minh