Active NPI
Bruce Robert Geryk, MD
- Neurocritical Care Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- MD190871
- Practice address
- 9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643 - Phone
- (503) 216-1150
- NPI assigned
- Jun 17, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurocritical Care Physician | 2084A2900X | MD190871 | OR | Primary |
| Neurology Physician | 2084N0400X | MD190871 | OR |
Addresses
Primary practice location
9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other practice location 1
Division Of Neurosurgery
170 Manning Drive, CB# 7060
Chapel Hill, NC 27599-0001
Phone (919) 966-1374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500743526 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bgeryk1008510@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Lake Oswego, OR 97035
Portland, OR 97231
12222 NW Old Germantown Rd
Portland, OR 97231-2723
9205 SW Barnes Rd
Portland, OR 97225-6603
Hospital & facility affiliations
- Providence St Vincent Medical Center
- Providence Portland Medical Center
- Providence Cedars Sinai Tarzana Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
Locations
4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676
2801 St Anthony Way
Pendleton, OR 97801
Phone (541) 276-5121
5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480
4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111
1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
5050 NE Hoyt St
Ste 315
Portland, OR 97213
Phone (503) 215-8580
9135 SW Barnes Rd
Ste 461
Portland, OR 97225
Phone (503) 216-1150
5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405
9155 SW Barnes Rd
Ste 409
Portland, OR 97225
Phone (503) 216-1234
Interoperability endpoints
- bgeryk1008510@oc.providencedirect.org
Organizations & group practices 17
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.
-
- General Practice Physician
- Lake Oswego, OR
- NPI 1023488343
-
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
OR
-
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
OR
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Medical Oncology Physician
- Portland, OR
- NPI 1255740965
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Portland, OR
- NPI 1003991845
-
- General Acute Care Hospital
- Portland, OR
- NPI 1114015971
-
- Case Manager/Care Coordinator
- Portland, OR
- NPI 1891822995
Hospital
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669334400000",
"number": "1275794802",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9135 SW BARNES RD STE 461",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972256643",
"telephone_number": "503-216-1150"
}
],
"practiceLocations": [
{
"address_1": "Division Of Neurosurgery",
"address_2": "170 Manning Drive, CB# 7060",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275990001",
"country_code": "US",
"telephone_number": "919-966-1374",
"fax_number": "919-966-6627",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GERYK",
"first_name": "BRUCE",
"middle_name": "ROBERT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-17",
"last_updated": "2022-11-25",
"certification_date": "2022-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "OR",
"license": "MD190871",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OR",
"license": "MD190871",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500743526",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bgeryk1008510@oc.providencedirect.org",
"affiliation": "N",
"address_1": "9135 SW Barnes Rd Ste 461",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972256643",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 25, 2022; 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.