Active NPI
Brenda Diane Roberts, M.D.
- Family Medicine Physician
- Battle Ground, WA
National Provider Identifier
1346466323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD 21507
- Practice address
- 18 NW 20TH Ave
Battle Ground, WA 98604-4175 - Phone
- (360) 952-4457
- Fax
- (360) 828-7409
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD 21507 | OR | Primary |
Addresses
Primary practice location
18 NW 20TH Ave
Battle Ground, WA 98604-4175
Mailing address
18 NW 20TH Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01369929 | Other | OR | RR MEDICARE (PH&S) |
Other names 1
- Brenda Diane Scott
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Oregon Health Sciences University School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
650 N Devine Rd
Suite B
Vancouver, WA 98661-6979
Phone (360) 952-4457
Hospital & facility affiliations
- Peacehealth Southwest Home Health
- Peacehealth Southwest Medical Cente
- Legacy Salmon Creek Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 21507 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose Medical Groups, PC | Family Medicine | Current | Accepting new patients |
Locations
18 NW 20th Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 952-4457
18 NW 20th Ave
Battle Ground, WA 98604
Phone (360) 597-9731
650 N Devine Rd
Ste B
Vancouver, WA 98661
Phone (360) 859-3280
Interoperability endpoints
- brenda.roberts.1@10370.direct.athenahealth.com
- https://api.platform.athenahealth.com/10370/brand/1/csg/1/fhir/r4
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.
-
- Family Medicine Physician
- Battle Ground, WA
- NPI 1063818573
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
-
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
- Home Health Agency
- Vancouver, WA
- NPI 1285720896
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719273600000",
"number": "1346466323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 NW 20TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044175",
"telephone_number": "360-952-4457",
"fax_number": "360-828-7409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 NW 20TH AVE",
"city": "BATTLE GROUND",
"state": "WA",
"postal_code": "986044175",
"telephone_number": "360-952-4457",
"fax_number": "360-828-7409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRENDA",
"middle_name": "DIANE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD 21507",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE (PH&S)",
"identifier": "P01369929",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BRENDA",
"last_name": "SCOTT",
"middle_name": "DIANE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Battle Ground, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.