Bronwen Kaye Erickson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201350053NP Issued in OR

Practice address

2921 Doctors Park Dr
Medford, OR 97504-8127

Phone

(541) 973-2551

Fax

(541) 973-2835

NPI assigned

Jul 6, 2012

Last updated

Mar 3, 2020By the provider in NPPES

Sex

Female

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

Other names 1

• Bronwen Kaye Weichert Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Complete Care Chiropractic and Massage

  • Multi-Specialty Clinic/Center
  • Eagle Point, OR
  • NPI 1619107695
  NPD (past)
• Nehalem Bay Health Center and Pharmacy

  • Student Health Clinic/Center
  • Rockaway Beach, OR
  • NPI 1811569387
  NPD (past)
• Origins Functional Wellness, LLC

  • Family Medicine Physician
  • Jacksonville, OR
  • NPI 1306326913
  NPD (past)

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1154686020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N 5TH ST",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309659",
            "telephone_number": "541-214-2598",
            "fax_number": "458-202-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048127",
            "telephone_number": "541-973-2551",
            "fax_number": "541-973-2835"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "532 B Laneda Ave",
            "address_purpose": "LOCATION",
            "city": "MANZANITA",
            "state": "OR",
            "postal_code": "97130",
            "country_code": "US",
            "telephone_number": "503-368-4393",
            "fax_number": "503-368-4395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1296 S Shasta Ave",
            "address_purpose": "LOCATION",
            "city": "Eagle Point",
            "state": "OR",
            "postal_code": "975248521",
            "country_code": "US",
            "telephone_number": "541-830-4325",
            "fax_number": "541-826-2620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "675 N 5th St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "OR",
            "postal_code": "97530",
            "country_code": "US",
            "telephone_number": "432-638-5747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "BRONWEN",
        "middle_name": "KAYE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-06",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201350053NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500669209",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRONWEN",
            "last_name": "WEICHERT",
            "middle_name": "KAYE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Edward Eplett, LICENCED DENTURIST
• Teresa Eplett, C.D.
• Melanie Brinn Epperson
• Equitable Social Solutions, LLC
• Eric Martin, MD P.C
• Jessica Ruth Erickson
• Gretchen Leanne Ericson, LPC
• Erin K Steen PHD LLC
• Liesel Ernst
• Maria Shajida Espat Reich, OD

• Family Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; 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.