Individual provider Active NPI

James Thomas Norland, MD

  • Internal Medicine Physician
  • Brookings, OR
National Provider Identifier
1043271687
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD21719 Issued in OR
Practice address
97825 Shopping Center Ave
Brookings, OR 97415
Phone
(541) 412-9800
Fax
(541) 412-9600
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD21719 OR Primary

Addresses

Primary practice location

97825 Shopping Center Ave
Brookings, OR 97415

Mailing address

PO Box 2742
Harbor, OR 97415-0326
Phone (541) 412-9800

Other identifiers 1

IdentifierTypeStateIssuer
134103MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD21719ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brookings Harbor Medical Center P C Past Accepting new patients
Chetco Medical & Aesthetics LLC PastSince Jul 27, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043271687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2742",
            "city": "HARBOR",
            "state": "OR",
            "postal_code": "974150326",
            "telephone_number": "541-412-9800",
            "fax_number": "541-412-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97825 SHOPPING CENTER AVE",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "97415",
            "telephone_number": "541-412-9800",
            "fax_number": "541-412-9600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORLAND",
        "first_name": "JAMES",
        "middle_name": "THOMAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD21719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134103",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.