Individual provider Active NPI

Brett J Schulte, M.D.

  • Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1285637579
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD20404 Issued in OR
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

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101119000584 OR Practitioner - General Surgery 1052507720 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD20404ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Coos Health District CurrentSince Oct 1, 2025 Accepting new patients
Southern Coos Health District CurrentSince Oct 1, 2025 Accepting new patients
Harney District Hospital Current Accepting new patients
Northwest Family Practice LLC PastSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.