Active NPI
Patrick Timothy Bringardner, FNP-BC
- Family Nurse Practitioner
- Coos Bay, OR
National Provider Identifier
1154877025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 201606922NP-PP
- Practice address
- 1900 Woodland Dr
Coos Bay, OR 97420-2045 - Phone
- (541) 267-5151
- Fax
- (541) 266-4588
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201606922NP-PP | OR | Primary |
Addresses
Primary practice location
1900 Woodland Dr
Coos Bay, OR 97420-2045
Mailing address
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161133 | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICAID |
| R0000WFBTV | Other | OR | NORTH BEND MEDICAL CENTER GROUP MEDICARE |
| 1407812365 | Other | OR | NORTH BEND MEDICAL CENTER GROUP NPI |
| 93-0635514 | Other | OR | NORTH BEND MEDICAL CENTER GROUP TAX ID |
| 500713885 | Medicaid | OR | |
| P01716857 | Other | OR | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1900 Woodland Dr
Coos Bay, OR 97420-2045
Phone (541) 267-5151
Hospital & facility affiliations
- Oregon Coast Home Health
- South Coast Hospice
- Bay Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Bend Medical Center Inc | Current | Accepting new patients | |
| North Bend Medical Center Inc | Past | Accepting new patients |
Locations
1900 Woodland Dr
Coos Bay, OR 97420
Phone (541) 267-5151
Interoperability endpoints
- pbringardner124289@secure.stcharleshealthcare.org
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Coos Bay, OR
- NPI 1407812365
-
- Diagnostic Radiology Physician
- Coos Bay, OR
- NPI 1063428308
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Coos Bay, OR
- NPI 1134801806
-
- General Acute Care Hospital
- Coos Bay, OR
- NPI 1225016561
-
- Community Based Hospice Care Agency
- Coos Bay, OR
- NPI 1417956558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477872000000",
"number": "1154877025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202045",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WOODLAND DR",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974202045",
"telephone_number": "541-267-5151",
"fax_number": "541-266-4588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRINGARDNER",
"first_name": "PATRICK",
"middle_name": "TIMOTHY",
"name_prefix": "Mr.",
"credential": "FNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2016-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201606922NP-PP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH BEND MEDICAL CENTER GROUP MEDICAID",
"identifier": "161133",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH BEND MEDICAL CENTER GROUP MEDICARE",
"identifier": "R0000WFBTV",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH BEND MEDICAL CENTER GROUP NPI",
"identifier": "1407812365",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORTH BEND MEDICAL CENTER GROUP TAX ID",
"identifier": "93-0635514",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500713885",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01716857",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.