Active NPI
Robert Hugh Brumley, OD
- Optometrist
- Aloha, OR
National Provider Identifier
1346242997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1337T
- 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, 2020
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 226344 | Medicaid | OR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1337T | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New 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.