Individual provider Active NPI

Brendan John Daly, MD

  • Cardiovascular Disease Physician
  • Vancouver, WA
National Provider Identifier
1275731226
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60472825 Issued in WA
Practice address
2121 NE 139TH St
Ste, 360
Vancouver, WA 98686-2316
Phone
(360) 213-0085
Fax
(360) 213-0049
NPI assigned
Jul 10, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2008033281 MO
Cardiovascular Disease Physician 207RC0000X MD167157 OR
Cardiovascular Disease Physician 207RC0000X A114856 CA
Cardiovascular Disease Physician 207RC0000X MD60472825 WA Primary

Addresses

Primary practice location

2121 NE 139TH St
Ste, 360
Vancouver, WA 98686-2316

Mailing address

847 NE 19TH Ave Ste 300
Portland, OR 97232-2686
Phone (503) 963-2801

Other practice location 1

19260 SW 65th Ave Ste 420
Tualatin, OR 97062-5712
Phone (503) 692-0405

Other practice location 2

24900 SE Stark St Ste 103
Gresham, OR 97030-3381
Phone (503) 907-1101

Other practice location 3

2222 NW Lovejoy St Ste 606
Portland, OR 97210-5104
Phone (503) 229-7554

Other practice location 4

500 N Columbia River Hwy
Saint Helens, OR 97051-1299
Phone (503) 229-7554

Other identifiers 2

IdentifierTypeStateIssuer
500671861MedicaidOR
2038609MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140823000363 OR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6406988187 Reassigns benefits to 5 organizations
I20141212000433 WA Practitioner - Cardiovascular Disease (Cardiology) 6406988187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians
Legacy Meridian Park HospitalGroup PAC ID 5092609842, 113 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians
Legacy Mount Hood Medical CenterGroup PAC ID 3173515996, 58 clinicians

Practice addresses (Care Compare)

1015 NW 22ND Ave
Portland, OR 97210-3025
Phone (503) 413-7711

1040 NW 22ND Ave
Suite 660
Portland, OR 97210-3083
Phone (503) 413-7162

1130 NW 22ND Ave
Suite 400
Portland, OR 97210-2971
Phone (503) 413-6722

1200 NW 23Rd Ave
Portland, OR 97210-2906
Phone (503) 413-7074

19300 SW 65TH Ave
Tualatin, OR 97062-7706
Phone (503) 692-2500

2121 NE 139TH St
Vancouver, WA 98686-2316

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

24800 SE Stark St
Gresham, OR 97030-3378
Phone (503) 661-9150

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 413-8258

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.83 of 100Reported as group
Quality
96.26
Promoting interoperability
100
Improvement activities
40
Cost
79.84

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
92.55
Promoting interoperability
100
Improvement activities
40
Cost
76.53

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A114856CAMDCardiovascular Disease Physician
MD60472825WAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Meridian Park Hospital CurrentSince Nov 3, 2018 Accepting new patients
Legacy Meridian Park Hospital CurrentSince Nov 3, 2018 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 19, 2014 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 4, 2014 Accepting new patients
Legacy Mount Hood Medical Center CurrentSince Nov 19, 2014 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 17, 2017 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 18, 2025 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Oct 4, 2014 Accepting new patients
Legacy Clinics LLC CurrentSince Jun 25, 2018 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Mar 18, 2025 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince May 17, 2017 Accepting new patients
Legacy Clinics LLC Internal Medicine CurrentSince Jun 25, 2018 Accepting new patients
The Oregon Clinic PC Internal Medicine Past Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

24800 SE Stark St
Gresham, OR 97030
Phone (503) 413-8407

1040 NW 22nd Ave
Ste 168
Portland, OR 97210
Phone (503) 413-7022

1040 NW 22nd Ave
Ste 660
Portland, OR 97210
Phone (503) 692-0405

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

1130 NW 22nd Ave
Ste 400
Portland, OR 97210
Phone (503) 413-6555

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

501 N Graham St
Ste 200
Portland, OR 97227
Phone (503) 413-4488

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

2121 NE 139th St
Ste 360
Vancouver, WA 98686
Phone (360) 213-0085

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

Interoperability endpoints

  • Direct secure messaging: bdaly100443@direct.lhs.org

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275731226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE STE 300",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322686",
            "telephone_number": "503-963-2801",
            "fax_number": "503-963-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 NE 139TH ST",
            "address_2": "STE, 360",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862316",
            "telephone_number": "360-213-0085",
            "fax_number": "360-213-0049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19260 SW 65th Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Tualatin",
            "state": "OR",
            "postal_code": "970625712",
            "country_code": "US",
            "telephone_number": "503-692-0405",
            "fax_number": "503-692-7978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24900 SE Stark St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Gresham",
            "state": "OR",
            "postal_code": "970303381",
            "country_code": "US",
            "telephone_number": "503-907-1101",
            "fax_number": "503-907-0177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 NW Lovejoy St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972105104",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-248-4666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Columbia River Hwy",
            "address_purpose": "LOCATION",
            "city": "Saint Helens",
            "state": "OR",
            "postal_code": "970511299",
            "country_code": "US",
            "telephone_number": "503-229-7554",
            "fax_number": "503-248-4666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALY",
        "first_name": "BRENDAN",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2008033281",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "MD167157",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A114856",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60472825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500671861",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.