Individual provider Active NPI

Brandon J Lynch, MD

  • Family Medicine Physician
  • Hillsboro, OR
National Provider Identifier
1639312457
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD163403 Issued in OR
Practice address
2711 NE Town Center Dr
Hillsboro, OR 97006-8951
Phone
(503) 684-8252
Fax
(866) 859-8195
NPI assigned
Apr 9, 2009
Last updated
Jun 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD163403 OR Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD163403 OR
Public Health & General Preventive Medicine Physician 2083P0901X MD163403 OR

Addresses

Primary practice location

2711 NE Town Center Dr
Hillsboro, OR 97006-8951

Mailing address

2711 NE Town Center Dr
Hillsboro, OR 97006-8951
Phone (503) 684-8252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241206000062 WA Order and Referring Only - Family PracticePractitioner - Family Practice 1456506013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 23, 2024 Accepting new patients

Locations

2711 NE Town Center Dr
Hillsboro, OR 97006

Interoperability endpoints

  • Direct secure messaging: brandon.lynch@jhie.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1639312457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2711 NE TOWN CENTER DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970068951",
            "telephone_number": "503-684-8252",
            "fax_number": "541-789-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 NE TOWN CENTER DR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "970068951",
            "telephone_number": "503-684-8252",
            "fax_number": "866-859-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD163403",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "OR",
            "license": "MD163403",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "OR",
            "license": "MD163403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsboro, OR

Sources for this page

Verify at the official NPI Registry.