NPIMap

Individual provider Active NPI

Andrew J Bryan, MD

  • Orthopaedic Surgery Physician
  • Portland, OR
National Provider Identifier
1134482284
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
186916 Issued in OR
Practice address
1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539
Phone
(503) 224-8399
Fax
(503) 224-5661
NPI assigned
Jun 22, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 56497 MN
Orthopaedic Surgery Physician 207X00000X 186916 OR Primary

Addresses

Primary practice location

1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539

Mailing address

1515 NW 18TH Ave Ste 300
Portland, OR 97209-2539
Phone (503) 224-8399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181022002100 OR Practitioner - Orthopedic Surgery 2668618489 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186916ORMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic & Sports Medicine Center of Or LLC Orthopaedic Surgery CurrentSince Aug 26, 2018 Accepting new patients
Orthopedic & Sports Medicine Center of Oregon LLC Orthopaedic Surgery CurrentSince Aug 26, 2018 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

17355 Boones Ferry Rd
Ste 100A
Lake Oswego, OR 97035
Phone (503) 256-5866

1515 NW 18th Ave
Ste 300
Portland, OR 97209

5050 NE Hoyt St
Ste 668
Portland, OR 97213
Phone (503) 239-7099

51385 SW Old Portland Rd
Ste A
Scappoose, OR 97056

Organizations & group practices 11

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.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Minnesota Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Columbia Lutheran Charities 110 clinicians
Orthopedic and Sports Medicine Center of Oregon LLC 16 clinicians

Practice addresses (Care Compare)

1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500

17355 Lower Boones Ferry Rd
Suite 100a
Lake Oswego, OR 97035-2539
Phone (503) 224-8399

17355 Lower Boones Ferry Rd
Suite 100a
Lake Oswego, OR 97035-5202

Hospital & facility affiliations

  • Legacy Good Samaritan Medical Center Hospital, Portland, OR, CCN 380017
  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082
  • Legacy Meridian Park Medical Center Hospital, Tualatin, OR, CCN 380089
  • Columbia Memorial Hospital Hospital, Astoria, OR, CCN 381320

Merit-based Incentive Payment System (MIPS)

Final score
26.45 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
88.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement79
Knee replacement76
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1134482284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092539",
            "telephone_number": "503-224-8399",
            "fax_number": "503-224-5661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 NW 18TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092539",
            "telephone_number": "503-224-8399",
            "fax_number": "503-224-5661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "56497",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "186916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.