Brandi Marie Bonney

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

THW000108889 Issued in OR

Practice address

2370 Gable Rd
Saint Helens, OR 97051-2913

Phone

(800) 244-4870

Fax

(503) 397-1424

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Columbia Health Services

  • Public Health or Welfare Agency
  • Saint Helens, OR
  • NPI 1659328755
  NPD (past)

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1275213829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 995",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970510995",
            "telephone_number": "800-244-4870",
            "fax_number": "503-397-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2370 GABLE RD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970512913",
            "telephone_number": "800-244-4870",
            "fax_number": "503-397-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONNEY",
        "first_name": "BRANDI",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OR",
            "license": "THW000108889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Stephen Bogden, PHYSICAL THERAPIST
• Brianna Quinn Boice
• Suzanne Boily
• Hannah Bombardier, RN
• Sharon L Bonn, LCSW
• Arejonna Bowen
• Jessica Michelle Bowles
• Dylan David Brady
• Emellio Julious-Deloren Brady
• Ashley Brandon

• Community Health Worker in Saint Helens, OR
• Providers in Saint Helens, OR by specialty
• Community Health Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.