David Arthur Bradburn, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD20971 Issued in OR

Practice address

980 3Rd St
Suite 200
Tillamook, OR 97141-9469

Phone

(503) 842-5546

Fax

(503) 842-1444

NPI assigned

Sep 23, 2005

Sex

Male

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

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

Merit-based Incentive Payment System (MIPS)

Final score

83.81 of 100Reported as group

Quality

71.23

Promoting interoperability

88

Improvement activities

40

Cost

81.9

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 and National Provider Directory roles.

• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Tillamook, OR
  • NPI 1871575225
  Medicare reassignment NPD
• Northwest Medical Foundation of Tillamook

  • Critical Access Hospital
  • Sheridan, OR
  • NPI 1053873919
  NPD
• Northwest Medical Foundation of Tillamook

  • Rural Health Clinic/Center
  • Vernonia, OR
  • NPI 1285164921
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196380800000",
    "number": "1255327375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 3RD ST",
            "address_2": "SUITE 200",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971419469",
            "telephone_number": "503-842-5546",
            "fax_number": "503-842-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADBURN",
        "first_name": "DAVID",
        "middle_name": "ARTHUR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2007-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD20971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117023",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janette L Boal, RN QMHA
• Victor Bofill, MA
• Danell M Boggs
• Rhonda Sue Bolow, CSWA
• Mark Randall Bowman, M.D.
• Esther Darlene Bradeen, PCA
• Brain Modulation Tillamook
• Craig A Brown, M.D.
• Janine L Brown
• Marcelo RM Carocci

• Family Medicine Physician in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.