Active NPI
Brian James Allen, PA
- Physician Assistant
- Grants Pass, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01343
- Practice address
- 702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859 - Phone
- (541) 472-0603
- Fax
- (541) 472-0609
- NPI assigned
- Mar 11, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01343 | OR | Primary |
Addresses
Primary practice location
702 SW Ramsey Ave Ste 112
Grants Pass, OR 97527-5859
Mailing address
2780 E Barnett Rd Ste 200
Medford, OR 97504-8674
Phone (541) 779-6250
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080327000442 | OR | Practitioner - Physician Assistant | 7113003336 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01343 | OR | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Oregon Orthopedics Inc | Physician Assistant | Current | Accepting new patients |
Locations
702 SW Ramsey Ave
Ste 112
Grants Pass, OR 97527
Phone (541) 472-0603
1780 Nebraska Ave
Grants Pass, OR 97527
Phone (541) 472-0603
2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770
2780 E Barnett Rd
Ste 200
Medford, OR 97504
Phone (541) 779-6250
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Medford, OR
- NPI 1518093376
OR, Physician Assistant
-
- Durable Medical Equipment & Medical Supplies
- Grants Pass, OR
- NPI 1942859749
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grants Pass, OR
- NPI 1801891809
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southern Oregon Orthopedics Inc
Practice addresses (Care Compare)
2780 E Barnett Rd
Suite 200
Medford, OR 97504-8674
Phone (541) 779-6250
Hospital & facility affiliations
- Asante Three Rivers Medical Center
- Curry General Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1124298617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2780 E BARNETT RD STE 200",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975048674",
"telephone_number": "541-779-6250",
"fax_number": "541-608-2535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 SW RAMSEY AVE STE 112",
"city": "GRANTS PASS",
"state": "OR",
"postal_code": "975275859",
"telephone_number": "541-472-0603",
"fax_number": "541-472-0609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLEN",
"first_name": "BRIAN",
"middle_name": "JAMES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-11",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grants Pass, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; 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.