Active NPI
Brett J Schulte, M.D.
- Surgery Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD20404
- Practice address
- 121 Sotoyome St Ste 201
Santa Rosa, CA 95405 - Phone
- (707) 579-2100
- Fax
- (707) 523-0616
- NPI assigned
- May 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD20404 | OR | Primary |
Addresses
Primary practice location
121 Sotoyome St Ste 201
Santa Rosa, CA 95405
Mailing address
121 Sotoyome St Ste 201
Santa Rosa, CA 95405-4822
Other practice location 1
1600 NW 6th St
Grants Pass, OR 97526-1094
Phone (541) 474-5533 ext. 105
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bschulte353189@oc.providencedirect.org | ||
| Direct Messaging Address | bschulte353189@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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD20404 | OR | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Coos Health District | Current | Accepting new patients | |
| Southern Coos Health District | Current | Accepting new patients | |
| Harney District Hospital | Current | Accepting new patients | |
| Northwest Family Practice LLC | Past | Accepting new patients |
Locations
900 11th St SE
Bandon, OR 97411
Phone (541) 237-2426
271 N Egan Ave
Burns, OR 97720
Phone (541) 573-2301
559 W Washington St
Burns, OR 97720
Phone (541) 573-2074
557 W Washington St
Burns, OR 97720
Phone (541) 573-3682
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Burns, OR
- NPI 1285742338
-
- Critical Access Hospital
- Bandon, OR
- NPI 1588684484
-
- Critical Access Hospital
- Bandon, OR
- NPI 1417094145
-
- Family Medicine Physician
- Grants Pass, OR
- NPI 1891347415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1285637579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST STE 201",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 SOTOYOME ST STE 201",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-579-2100",
"fax_number": "707-523-0616"
}
],
"practiceLocations": [
{
"address_1": "1600 NW 6th St",
"address_purpose": "LOCATION",
"city": "Grants Pass",
"state": "OR",
"postal_code": "975261094",
"country_code": "US",
"telephone_number": "541-474-5533 x105",
"fax_number": "541-476-2380",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHULTE",
"first_name": "BRETT",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD20404",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bschulte353189@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1162 Montgomery Dr Ste 3",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954054802",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bschulte353189@oc.providencedirect.org",
"affiliation": "N",
"address_1": "106 Lynch Creek Way Ste 9B",
"city": "Petaluma",
"state": "CA",
"country_code": "US",
"postal_code": "949542356",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.