Active NPI
Bradley Reed Parke, MD
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1124516620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD223912
- Practice address
- 3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011 - Phone
- (503) 494-8562
- Fax
- (503) 418-5505
- NPI assigned
- Apr 30, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD223912 | OR | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | MD223912 | OR | |
| Internal Medicine Physician | 207R00000X | 12780 | SD |
Addresses
Primary practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8562
Other practice location 1
1535 N Williams Ave
Portland, OR 97227-1885
Phone (503) 238-2067
Other practice location 2
727 W Burnside St
Portland, OR 97209-3514
Phone (503) 228-4533
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1400 SW 5TH Ave
FL 5
Portland, OR 97201-5509
800 SW Green Ave
Apt 7
Portland, OR 97205-1022
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.38 of 100
- Quality
- 80.82
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 84.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD223912 | OR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients |
Interoperability endpoints
- bparke107380@direct.ohsu.edu
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.
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1124516620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8562",
"fax_number": "503-418-5505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-8562",
"fax_number": "503-418-5505"
}
],
"practiceLocations": [
{
"address_1": "1535 N Williams Ave",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972271885",
"country_code": "US",
"telephone_number": "503-238-2067",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "727 W Burnside St",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972093514",
"country_code": "US",
"telephone_number": "503-228-4533",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARKE",
"first_name": "BRADLEY",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-30",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD223912",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "OR",
"license": "MD223912",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SD",
"license": "12780",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.