Individual provider Active NPI

Robert Hugh Brumley, OD

  • Optometrist
  • Aloha, OR
National Provider Identifier
1346242997
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1337T Issued in OR
Practice address
18345 SW Alexander St
Suite a
Aloha, OR 97006-3960
Phone
(503) 642-2505
Fax
(503) 649-9556
NPI assigned
Aug 12, 2005
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1337T OR Primary

Addresses

Primary practice location

18345 SW Alexander St
Suite a
Aloha, OR 97006-3960

Mailing address

6420 S Macadam Ave Ste 160
Portland, OR 97239-3517
Phone (503) 244-8601

Other identifiers 1

IdentifierTypeStateIssuer
226344MedicaidOR

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1337TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Oregon Eye Specialists PC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1346242997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 160",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393517",
            "telephone_number": "503-244-8601",
            "fax_number": "503-244-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18345 SW ALEXANDER ST",
            "address_2": "SUITE A",
            "city": "ALOHA",
            "state": "OR",
            "postal_code": "970063960",
            "telephone_number": "503-642-2505",
            "fax_number": "503-649-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMLEY",
        "first_name": "ROBERT",
        "middle_name": "HUGH",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1337T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226344",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aloha, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.