NPIMap

Individual provider Active NPI

Benjamin Robert Burton, DO

  • Family Medicine Physician
  • Forest Grove, OR
National Provider Identifier
1548520869
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO171244 Issued in OR
Practice address
1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone
(503) 359-4773
NPI assigned
May 21, 2012
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO171244 OR Primary
Family Medicine Physician 207Q00000X OP60798348 WA

Addresses

Primary practice location

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894

Mailing address

1909 Mountain View LN Ste 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773

Other practice location 1

1455 NW Irving St Ste 600
Portland, OR 97209-2277
Phone (702) 388-4512

Other practice location 2

1975 NW 167th Pl # 100-42
Beaverton, OR 97006-4908
Phone (971) 770-0479

Other identifiers 2

IdentifierTypeStateIssuer
DO171244OtherORSTATE MEDICAL BOARD
OP60798348OtherWAWASHINGTON MEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150914002613 OR Practitioner - Family Practice 4880911965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Timothy J Gray DO LLCGroup PAC ID 1355390584, 11 clinicians

Practice addresses (Care Compare)

1151 N Adair St
Cornelius, OR 97113-8900
Phone (503) 359-5564

1909 Mountain View LN
Suite 200
Forest Grove, OR 97116-2894
Phone (503) 359-4773

2725 SW Cedar Hills Blvd
Suite 200
Beaverton, OR 97005-1435
Phone (503) 352-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60798348WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Create Heath NW CurrentSince Feb 6, 2022 Accepting new patients
Timothy J Gray DO LLC Family Medicine CurrentSince Jun 26, 2023 Accepting new patients

Locations

1975 NW 167th Pl
#10042
Beaverton, OR 97006
Phone (562) 340-6068

1909 Mountain View Ln
Ste 200
Forest Grove, OR 97116
Phone (503) 359-4773

4660 NE Belknap Ct
Ste 119
Hillsboro, OR 97124
Phone (503) 359-3809

Interoperability endpoints

  • Direct secure messaging: ben.burton.1@26386.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/26386/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1548520869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "503-359-4773",
            "fax_number": "503-359-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 MOUNTAIN VIEW LN STE 200",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971162894",
            "telephone_number": "503-359-4773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1455 NW Irving St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092277",
            "country_code": "US",
            "telephone_number": "702-388-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1975 NW 167th Pl # 100-42",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970064908",
            "country_code": "US",
            "telephone_number": "971-770-0479",
            "fax_number": "877-538-5615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURTON",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-21",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO171244",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP60798348",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL BOARD",
            "identifier": "DO171244",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON MEDICAL LICENSE",
            "identifier": "OP60798348",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

Verify at the official NPI Registry.