Active NPI
Brice Tyler Stanley, PAC
- Physician Assistant
- La Pine, OR
National Provider Identifier
1285677575
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jun 20, 2012.
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA01027
- Practice address
- 5600 Huntington Rd
Lapine Community Clinic
Lapine, OR 97739 - Phone
- (541) 534-3435
- Fax
- (541) 536-8047
- NPI assigned
- Jun 14, 2006
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01027 | OR | Primary |
Addresses
Primary practice location
5600 Huntington Rd
Lapine Community Clinic
Lapine, OR 97739
Mailing address
PO Box 3300
Lapine, OR 97739
Phone (541) 536-3435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01027 | OR | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1285677575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3300",
"city": "LAPINE",
"state": "OR",
"postal_code": "97739",
"telephone_number": "541-536-3435",
"fax_number": "541-536-8047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 HUNTINGTON RD",
"address_2": "LAPINE COMMUNITY CLINIC",
"city": "LAPINE",
"state": "OR",
"postal_code": "97739",
"telephone_number": "541-534-3435",
"fax_number": "541-536-8047"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANLEY",
"first_name": "BRICE",
"middle_name": "TYLER",
"name_prefix": "Mr.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA01027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Pine, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.