NPIMap

Individual provider Active NPI

Maureen P Bruns, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Portland, OR
National Provider Identifier
1588045702
Registry record updated Jan 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
MD183804 Issued in OR
Practice address
4805 NE Glisan St Ste BG12
Portland, OR 97213-2933
Phone
(503) 215-2392
NPI assigned
Jun 12, 2015
Last updated
Jan 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD183804 OR
Geriatric Medicine (Internal Medicine) Physician 207RG0300X MD183804 OR Primary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 69367-20 WI

Addresses

Primary practice location

4805 NE Glisan St Ste BG12
Portland, OR 97213-2933

Mailing address

PO Box 1193
Corvallis, OR 97339-1193

Other practice location 1

100 Mullins Dr Ste C2
Lebanon, OR 97355-2868
Phone (541) 451-6413

Other practice location 2

400 N Santiam HWY
Lebanon, OR 97355
Phone (541) 451-6413

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbruns187216@samhealth.direct-ci.com

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
I20171227001283 OR Practitioner - Internal Medicine 0345553343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Valley Healthcare IncGroup PAC ID 2769391523, 143 clinicians
CRM Physicians LLCGroup PAC ID 3678720729, 59 clinicians

Practice addresses (Care Compare)

1001 N Providence Dr
Newberg, OR 97132-7485
Phone (503) 537-5612

1003 N Providence Dr
Suite 325
Newberg, OR 97132-7521
Phone (503) 216-1661

10150 SE 32ND Ave
Milwaukie, OR 97222-6516
Phone (503) 513-3613

1321 NE 99TH Ave
Suite 200
Portland, OR 97220-9439
Phone (503) 215-4250

1500 Division St
Oregon City, OR 97045-1527
Phone (503) 557-2136

325 Park St
Lebanon, OR 97355-4229
Phone (541) 451-7200

425 N Santiam Hwy
Lebanon, OR 97355-4361

5050 NE Hoyt St
Suite 240
Portland, OR 97213-2981
Phone (503) 215-6480

6800 SW 105TH Ave
Beaverton, OR 97008-5468
Phone (503) 430-1777

9290 SE Sunnybrook Blvd
Suite 120
Clackamas, OR 97015-6802
Phone (503) 215-2110

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.77 of 100Reported as group
Quality
88.09
Promoting interoperability
100
Improvement activities
40
Cost
84.48

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Valley Healthcare Inc Current Accepting new patients
Providence Health & Services Oregon CurrentSince Jan 12, 2026 Accepting new patients
Providence Health & Services - Oregon Internal Medicine CurrentSince Jan 12, 2026 Accepting new patients
CRM Physicians, LLC Internal Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mid-Valley Healthcare, Inc. PastSince Aug 4, 2024 Accepting new patients

Locations

6800 SW 105th Ave
Beaverton, OR 97008

6800 SW 105th Ave
Ste 206
Beaverton, OR 97008
Phone (503) 351-3505

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

650 SE Oak St
Hillsboro, OR 97123
Phone (503) 648-8588

325 Park St
Lebanon, OR 97355
Phone (541) 451-7200

1003 N Providence Dr
Ste 325
Newberg, OR 97132
Phone (503) 216-1661

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

4805 NE Glisan St
Ste BG12
Portland, OR 97213
Phone (503) 215-2392

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

Interoperability endpoints

  • Direct secure messaging: mbruns187216@samhealth.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Avamere Rehabilitation of LebanonLebanon, OR, CCN 385168 Skilled nursing facility Contracted Managing Employee Aug 1, 2020
Corvallis Manor Nursing & Rehabilitation CenterCorvallis, OR, CCN 385072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 29, 2024
Jan 29, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1434067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768694400000",
    "number": "1588045702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1193",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973391193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 NE GLISAN ST STE BG12",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132933",
            "telephone_number": "503-215-2392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Mullins Dr Ste C2",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "973552868",
            "country_code": "US",
            "telephone_number": "541-451-6413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N Santiam HWY",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "OR",
            "postal_code": "97355",
            "country_code": "US",
            "telephone_number": "541-451-6413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNS",
        "first_name": "MAUREEN",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-12",
        "last_updated": "2026-01-18",
        "certification_date": "2026-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD183804",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OR",
            "license": "MD183804",
            "primary": true
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "WI",
            "license": "69367-20",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbruns187216@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "400 N Santiam HWY",
            "city": "Lebanon",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.