Brandi Acacia Mendonca, MD
Individual provider Active NPI Family Medicine Physician · McMinnville, OR
NPI 1306941869 · NPPES record last updated Jul 18, 2011
Key facts
- NPI
- 1306941869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD26831 (OR)
- Practice address
- 2163 NW 2ND St
McMinnville, OR 97128-9108 - Phone
- (503) 472-4197
- Fax
- (503) 434-2886
- NPI assigned
- Sep 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Warren Alpert Medical School of Brown University, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Virginia Garcia Memorial Health Center
Practice addresses (Care Compare)
115 NE May LN
McMinnville, OR 97128-9272
Phone (503) 472-1338
627 N Evans St
McMinnville, OR 97128-3923
Phone (503) 434-7523
Hospital & facility affiliations
- Willamette Valley Medical Center
- Providence Newberg Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061103000149 | OR | Practitioner - Family Practice | 5890792816 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD26831 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Hills Healthcare Clinic PC | Family Medicine | Current |
Accepting new patients |
| Virginia Garcia Memorial Health Center | Current |
Accepting new patients |
Locations
2725 SW Cedar Hills Blvd
Ste 200
Beaverton, OR 97005
Phone (503) 352-6000
2163 NW 2nd St
McMinnville, OR 97128
Phone (503) 472-4197
115 NE May Ln
McMinnville, OR 97128
Phone (503) 472-1338
2251 E Hancock St
Newberg, OR 97132
Phone (971) 281-3000
Interoperability endpoints
- bmendonca744777@direct.ochin.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD26831 | OR | Yes |
Addresses
Primary practice location
2163 NW 2ND St
McMinnville, OR 97128-9108
Mailing address
2163 NW 2ND St
McMinnville, OR 97128-9108
Phone (503) 472-4197
Other providers in McMinnville, OR
- Jenifer Meadows
- Lauren Anne Meadows
- Caden Medcalf
- Kathryn Ann Meier
- Maira Elizabeth Mejia Lopez
- Ruthellen Mendoza
- Bridget A Meneley
- Rosa Mercado
- Chandni Merchant
- Jerilee Merkle
All providers in McMinnville, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.