Brian Kreul, MD

Primary specialty

Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X

License

MD Issued in OR

Practice address

2959 Siskiyou Blvd
Suite a
Medford, OR 97504-8131

Phone

(541) 773-2110

Fax

(541) 734-7368

NPI assigned

Aug 26, 2006

Last updated

Nov 13, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Arizona College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Brian Kreul MD PC

  • Specialist
  • Medford, OR
  • NPI 1659699585
  Medicare reassignment NPD Authorized official
• Plastic Surgery Specialists PC

  • Plastic Surgery Physician
  • Medford, OR
  • NPI 1780743526
  NPD (past)

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447372800000",
    "number": "1205944782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HILLCREST PARK DR 200",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047686",
            "telephone_number": "541-773-6700",
            "fax_number": "866-430-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "SUITE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-2110",
            "fax_number": "541-734-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUL",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2015-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "OR",
            "license": "MD28013",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "OR",
            "license": "MD",
            "primary": true
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD28013",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205944782",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Christopher Krach, RN
• Karen Ann Kralik, PTA
• Peter Kralik, COTA
• Andy Jon Kranenburg, M.D.
• Taylor Krehbiel, LPC
• Kimberly Dawn Kreutzer, LMT
• Robert Alan Krevitz, BACHELOR OF ARTS
• Mishell Marie Krewson
• Sandra Dianne Krick, PHARM.D.
• Sharon Pearl Krische, NP

• Surgery of the Hand (Plastic Surgery) Physician in Medford, OR
• Providers in Medford, OR by specialty
• Surgery of the Hand (Plastic Surgery) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2015; 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.

Verify at the official NPI Registry.