Brent Heimuller, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD18814 Issued in OR

Practice address

2435 NE Cumulus Ave Ste a
McMinnville, OR 97128-8862

Phone

(503) 472-6161

Fax

(503) 434-6290

NPI assigned

May 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Oregon Health Sciences University School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physicians Medical Center P CGroup PAC ID 6305832890, 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Physicians Medical Center P C

  • General Practice Physician
  • McMinnville, OR
  • NPI 1326097122
  Medicare reassignment Care Compare group NPD
• Physicians Medical Center, P C

  • Clinical Medical Laboratory
  • McMinnville, OR
  • NPI 1821035841
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1053364562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-6290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 NE CUMULUS AVE STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288862",
            "telephone_number": "503-472-6161",
            "fax_number": "503-434-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMULLER",
        "first_name": "BRENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD18814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082284",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tristan Erik Hediger, BA
• Reed Hedlund
• Peggy K Hegna, BSN
• Theresa Rose Heidt-Vanderschoot
• Tyler L Heidt, PA-C
• Eva Hellesto
• Hellocare LLC
• Emily Henderson, LPC
• Ginna Henry
• Tessa Henry

• Pediatrics Physician in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.