Active NPI
Brandon W Brasher, P.A.
- Medical Physician Assistant
- Prineville, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA152971
- Practice address
- 384 SE Combs Flat Rd
Prineville, OR 97754-2562 - Phone
- (541) 447-8750
- Fax
- (541) 447-8428
- NPI assigned
- May 15, 2007
- Last updated
- Apr 24, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2899 | AZ | |
| Medical Physician Assistant | 363AM0700X | PA152971 | OR | Primary |
Addresses
Primary practice location
384 SE Combs Flat Rd
Prineville, OR 97754-2562
Mailing address
1207 NE Hudspeth Circle
Prineville, OR 97754
Phone (928) 234-2068
Other practice location 1
1103 NE Elm Street
Suite P
Prineville, OR 97754
Phone (541) 447-6263
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbrasher18172@secure.stcharleshealthcare.org |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2899 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients | |
| St. Charles Health System, Inc. | Current | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2042 NE Williamson Ct
Ste 100
Bend, OR 97701
Phone (541) 526-6603
2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331
2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333
51781 Huntington Rd
La Pine, OR 97739
Phone (541) 666-7920
470 NE A St
Madras, OR 97741
Phone (541) 475-3882
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
384 SE Combs Flat Rd
Ste 1200
Prineville, OR 97754
Phone (541) 447-6263
1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131
1315 NW 4th St
Redmond, OR 97756
Phone (541) 388-2333
1523 NW Canal Blvd
Redmond, OR 97756
Phone (541) 383-3668
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Interoperability endpoints
- bbrasher18172@secure.stcharleshealthcare.org
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.
-
dba St. Charles Medical Group
- Family Medicine Physician
- Bend, OR
- NPI 1023331303
-
dba St. Charles - Madras
- Critical Access Hospital
- Madras, OR
- NPI 1356389894
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
-
dba St. Charles Bend
- General Acute Care Hospital
- Bend, OR
- NPI 1982621447
-
dba St. Charles Medical Center - Bend
- Rehabilitation Hospital Unit
- Bend, OR
- NPI 1154343150
-
dba The Center at St. Charles Medical Equipment
- Specialist
- Bend, OR
- NPI 1700697935
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba St. Charles Prineville
- Critical Access Hospital
- Prineville, OR
- NPI 1710160445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1629284641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 NE HUDSPETH CIRCLE",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "97754",
"telephone_number": "928-234-2068",
"fax_number": "541-416-7452"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 SE COMBS FLAT RD",
"city": "PRINEVILLE",
"state": "OR",
"postal_code": "977542562",
"telephone_number": "541-447-8750",
"fax_number": "541-447-8428"
}
],
"practiceLocations": [
{
"address_1": "1103 NE Elm Street",
"address_2": "Suite P",
"address_purpose": "LOCATION",
"city": "Prineville",
"state": "OR",
"postal_code": "97754",
"country_code": "US",
"telephone_number": "541-447-6263",
"fax_number": "541-416-7452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRASHER",
"first_name": "BRANDON",
"middle_name": "W",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2899",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OR",
"license": "PA152971",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbrasher18172@secure.stcharleshealthcare.org",
"affiliation": "N",
"address_1": "384 SE Combs Flat Rd",
"city": "Prineville",
"state": "OR",
"country_code": "US",
"postal_code": "977542562",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prineville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.