NPIMap

Individual provider Active NPI

Brett A Johnson, MD

  • Emergency Medicine Physician
  • Corvallis, OR
National Provider Identifier
1598842650
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD25192 Issued in OR
Practice address
3600 NW Samaritan Drive
Corvallis, OR 97330
Phone
(541) 753-1909
NPI assigned
Nov 1, 2006
Last updated
May 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD11143507 WA
Emergency Medicine Physician 207P00000X MD25192 OR Primary

Addresses

Primary practice location

3600 NW Samaritan Drive
Corvallis, OR 97330

Mailing address

532 NW 8TH St
Corvallis, OR 97330
Phone (541) 753-1909

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
I20041105000427 OR Practitioner - Emergency Medicine 5890758387 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medical Associates of McMinnvilleGroup PAC ID 3870585920, 6 clinicians

Practice addresses (Care Compare)

2700 SE Stratus Ave
Williamette Valley Medical Center
McMinnville, OR 97128-6255
Phone (503) 472-6131

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.83 of 100Reported as group
Quality
83.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD25192ORMDEmergency Medicine Physician
MD11143507WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wallowa County Health Care District Family Medicine CurrentSince Dec 9, 2025 Accepting new patients
Western Healthcare Services Texas Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Wallowa County Health Care District Family Medicine CurrentSince Dec 9, 2025 Accepting new patients
Wallowa County Health Care District CurrentSince Jan 1, 2026 Accepting new patients
Mary's Peak Emergency Physicians Emergency Medicine Past Accepting new patients
West Sound Emergency Physicians, PLLC Emergency Medicine PastSince Mar 12, 2023 Accepting new patients

Locations

601 Medical Pkwy
Enterprise, OR 97828
Phone (541) 426-3111

94220 4th St
Gold Beach, OR 97444
Phone (541) 247-3000

Organizations & group practices 7

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 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1598842650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 NW 8TH ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-753-1909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 NW SAMARITAN DRIVE",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "97330",
            "telephone_number": "541-753-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD11143507",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD25192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corvallis, OR

Sources for this page

Verify at the official NPI Registry.