Active NPI
Charles Bradley Voss, M.D.
- Internal Medicine Physician
- Portland, OR
National Provider Identifier
1225141922
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD18462
- Practice address
- 9205 SW Barnes Rd
Psvmc WP 2002
Portland, OR 97225-6603 - Phone
- (503) 216-1890
- NPI assigned
- Aug 16, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD18462 | OR | Primary |
| Internal Medicine Physician | 207R00000X | G64639 | CA | |
| Internal Medicine Physician | 207R00000X | MD5131 | HI |
Addresses
Primary practice location
9205 SW Barnes Rd
Psvmc WP 2002
Portland, OR 97225-6603
Mailing address
3077 SW Nottingham Dr
Portland, OR 97201-1610
Phone (503) 228-5577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64639 | CA | MD | Internal Medicine Physician |
| MD5131 | HI | MD | Internal Medicine Physician |
| MD18462 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225141922",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 SW NOTTINGHAM DR",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972011610",
"telephone_number": "503-228-5577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9205 SW BARNES RD",
"address_2": "PSVMC WP 2002",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256603",
"telephone_number": "503-216-1890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOSS",
"first_name": "CHARLES",
"middle_name": "BRADLEY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD18462",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G64639",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "MD5131",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.