Active NPI
Brian E. Winkler, P.T.
- Physical Therapist
- Medford, OR
National Provider Identifier
1265432256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 02952
- Practice address
- 70 Bower Drive
Medford, OR 97501-9848 - Phone
- (541) 734-3430
- Fax
- (541) 734-3638
- NPI assigned
- Jul 31, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02952 | OR | Primary |
Addresses
Primary practice location
70 Bower Drive
Medford, OR 97501-9848
Mailing address
PO Box 3158
Portland, OR 97208-3158
Phone (541) 734-3430
Other practice location 1
3512 Excel Dr
Suite 105
Medford, OR 97504-9848
Phone (541) 476-1919
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 228746 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bwinkler789736@oc.providencedirect.org |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02952 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services - Oregon | Current | Accepting new patients | |
| Providence Health & Services - Oregon | Current | Accepting new patients |
Locations
1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250
Interoperability endpoints
- bwinkler789736@oc.providencedirect.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.
-
dba Providence Medford Medical Center
- Clinic/Center
- Medford, OR
- NPI 1093976243
-
dba Providence Medford Medical Center
- Clinical Pathology Physician
- Medford, OR
- NPI 1285185942
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1265432256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158",
"telephone_number": "541-734-3430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 BOWER DRIVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975019848",
"telephone_number": "541-734-3430",
"fax_number": "541-734-3638"
}
],
"practiceLocations": [
{
"address_1": "3512 Excel Dr",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Medford",
"state": "OR",
"postal_code": "975049848",
"country_code": "US",
"telephone_number": "541-476-1919",
"fax_number": "541-476-1920",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WINKLER",
"first_name": "BRIAN",
"middle_name": "E.",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-31",
"last_updated": "2020-10-15",
"certification_date": "2020-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "02952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "228746",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bwinkler789736@oc.providencedirect.org",
"affiliation": "N",
"address_1": "965 Ellendale Dr",
"city": "Medford",
"state": "OR",
"country_code": "US",
"postal_code": "975048215",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.