Active NPI
Cornelius L Britt, M.D.
- Orthopaedic Surgery Physician
- Gold Beach, OR
National Provider Identifier
1366547994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD179516
- Practice address
- 94220 4TH St
Gold Beach, OR 97444-7756 - Phone
- (541) 247-3910
- Fax
- (541) 247-3109
- NPI assigned
- Sep 14, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD179516 | OR | Primary |
Addresses
Primary practice location
94220 4TH St
Gold Beach, OR 97444-7756
Mailing address
94220 4TH St
Gold Beach, OR 97444-7756
Phone (541) 247-3000
Other practice location 1
500 5th St
Brookings, OR 97415-9702
Phone (541) 412-2000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 119263 | Other | OR | CURRY HEALTH DISTRICT MEDICAID |
| 1487696985 | Other | OR | CURRY HEALTH DISTRICT NPI |
| 930937095 | Other | OR | CURRY HEALTH DISTRICT TAX I.D. |
| R0000ZGBDG | Other | OR | CURRY HEALTH DISTRICT MEDICARE |
| 500717826 | 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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD179516 | OR | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| US Health Dept of Health & Human Services | Past | Accepting new patients | |
| US Health Dept of Health & Human Services | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federal Public Health Clinic/Center
- Fort Washakie, WY
- NPI 1023174299
-
- Federal Public Health Clinic/Center
- Arapahoe, WY
- NPI 1104976372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1366547994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94220 4TH ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974447756",
"telephone_number": "541-247-3000",
"fax_number": "541-247-3104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94220 4TH ST",
"city": "GOLD BEACH",
"state": "OR",
"postal_code": "974447756",
"telephone_number": "541-247-3910",
"fax_number": "541-247-3109"
}
],
"practiceLocations": [
{
"address_1": "500 5th St",
"address_purpose": "LOCATION",
"city": "Brookings",
"state": "OR",
"postal_code": "974159702",
"country_code": "US",
"telephone_number": "541-412-2000",
"fax_number": "541-412-6777",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRITT",
"first_name": "CORNELIUS",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD179516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT MEDICAID",
"identifier": "119263",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT NPI",
"identifier": "1487696985",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT TAX I.D.",
"identifier": "930937095",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CURRY HEALTH DISTRICT MEDICARE",
"identifier": "R0000ZGBDG",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500717826",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gold Beach, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.