Active NPI
Brian Knight DO LLC
- Neuromusculoskeletal Medicine & OMM Physician
- Gresham, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- DO21549
- Legal business name
- BRIAN KNIGHT DO LLC
- Practice address
- 1217 NE Burnside Rd
Suite 103
Gresham, OR 97030 - Phone
- (503) 489-1999
- Fax
- (503) 489-2011
- NPI assigned
- Sep 27, 2005
- Last updated
- Jul 14, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brian George Knight, DO
- Title
- Physician/Resident
- Phone
- (503) 489-1999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | DO21549 | OR | Primary |
Addresses
Primary practice location
1217 NE Burnside Rd
Suite 103
Gresham, OR 97030
Mailing address
1217 NE Burnside Rd
Suite 103
Gresham, OR 97030
Phone (503) 489-1999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1217 NE Burnside Rd
Ste 103
Gresham, OR 97030
Phone (503) 257-5905
10373 NE Hancock St
Ste 222
Portland, OR 97220
Phone (503) 251-4229
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Gresham, OR
- NPI 1831186774
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247529600000",
"number": "1386630010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD",
"address_2": "SUITE 103",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-489-1999",
"fax_number": "503-489-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1217 NE BURNSIDE RD",
"address_2": "SUITE 103",
"city": "GRESHAM",
"state": "OR",
"postal_code": "97030",
"telephone_number": "503-489-1999",
"fax_number": "503-489-2011"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRIAN KNIGHT DO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2009-07-14",
"status": "A",
"authorized_official_last_name": "KNIGHT",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "PHYSICIAN/RESIDENT",
"authorized_official_telephone_number": "503-489-1999",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "OR",
"license": "DO21549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.