Active NPI
Brian Rueben, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1295743474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27-3266
- Practice address
- 61535 S Highway 97 Ste 18
Bend, OR 97702-2156 - Phone
- (541) 343-4255
- Fax
- (541) 383-4915
- NPI assigned
- Aug 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 27-3266 | OR | Primary |
Addresses
Primary practice location
61535 S Highway 97 Ste 18
Bend, OR 97702-2156
Mailing address
61535 S Highway 97 Ste 18
Bend, OR 97702-2156
Phone (541) 383-4255
Other practice location 1
22105 NW Imbrie Dr
Hillsboro, OR 97124-6988
Phone (503) 547-8400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295743474 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.thechiropractor1895.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
61535 S Hwy 97
Suite 18
Bend, OR 97702-2156
Phone (541) 647-2055
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27-3266 | OR | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Bend, OR
- NPI 1205077484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1295743474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61535 S HIGHWAY 97 STE 18",
"city": "BEND",
"state": "OR",
"postal_code": "977022156",
"telephone_number": "541-383-4255",
"fax_number": "541-383-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61535 S HIGHWAY 97 STE 18",
"city": "BEND",
"state": "OR",
"postal_code": "977022156",
"telephone_number": "541-343-4255",
"fax_number": "541-383-4915"
}
],
"practiceLocations": [
{
"address_1": "22105 NW Imbrie Dr",
"address_purpose": "LOCATION",
"city": "Hillsboro",
"state": "OR",
"postal_code": "971246988",
"country_code": "US",
"telephone_number": "503-547-8400",
"fax_number": "503-547-8402",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUEBEN",
"first_name": "BRIAN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27-3266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1295743474",
"state": null
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.thechiropractor1895.com",
"affiliation": "N",
"endpointDescription": "web address",
"address_1": "61535 S Highway 97 Ste 18",
"city": "Bend",
"state": "OR",
"country_code": "US",
"postal_code": "977022156",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.