Active NPI
Robert C Brasted Jr., M.D.
- Psychiatry Physician
- Eugene, OR
National Provider Identifier
1447223862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD15486
- Practice address
- 1200 Hilyard St
Eugene, OR 97401-8122 - Phone
- (541) 744-0828
- Fax
- (541) 687-6214
- NPI assigned
- Feb 8, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD15486 | OR | Primary |
Addresses
Primary practice location
1200 Hilyard St
Eugene, OR 97401-8122
Mailing address
PO Box 24410
Eugene, OR 97402-0451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 015623 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lane County Oregon | Current | Accepting new patients | |
| Peacehealth Medical Group | Psychiatry | Current | Accepting new patients |
Locations
1200 Hilyard St
Eugene, OR 97401
Phone (458) 205-7070
1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530
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.
-
- Federally Qualified Health Center (FQHC)
- Springfield, OR
- NPI 1326138314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341187200000",
"number": "1447223862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24410",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 HILYARD ST",
"city": "EUGENE",
"state": "OR",
"postal_code": "974018122",
"telephone_number": "541-744-0828",
"fax_number": "541-687-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASTED",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2012-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD15486",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "015623",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.