Organization Active NPI

Eastern Oregon Orthopaedic Surgery & Fracture Clinic, Inc

  • Durable Medical Equipment & Medical Supplies
  • Pendleton, OR
National Provider Identifier
1013081082
Registry record updated Nov 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
MD23266 Issued in OR
Legal business name
EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC, INC
Practice address
3207 SW Perkins Ave
Pendleton, OR 97801-3215
Phone
(541) 276-4642
Fax
(541) 276-4975
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Bradley Scott Adams, MD
Title
Owner
Phone
(541) 276-4642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X MD23266 OR Primary

Addresses

Primary practice location

3207 SW Perkins Ave
Pendleton, OR 97801-3215

Mailing address

PO Box 2714
Corvallis, OR 97339-2714
Phone (541) 758-5047

Other names 1

  • Eastern Oregon Orthopaedic Surgery & Sports Medicine, LLP Former legal business name

National Provider Directory

National Provider Directory

Locations

3207 SW Perkins Ave
Pendleton, OR 97801
Phone (541) 215-1564

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290988800000",
    "number": "1013081082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2714",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973392714",
            "telephone_number": "541-758-5047",
            "fax_number": "541-758-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3207 SW PERKINS AVE",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013215",
            "telephone_number": "541-276-4642",
            "fax_number": "541-276-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN OREGON ORTHOPAEDIC SURGERY & FRACTURE CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2010-11-29",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-276-4642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OR",
            "license": "MD23266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Oregon Orthopaedic Surgery & Sports Medicine, LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Pendleton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.