Bradford Benton Lorber, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD22166 Issued in OR

Practice address

9400 SW Beaverton Hillsdale Hwy
Suite 205
Beaverton, OR 97005-3315

Phone

(503) 684-7246

Fax

(503) 624-0724

NPI assigned

Jun 18, 2006

Last updated

Jan 12, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northwest Occupational Medicine Center Inc.

  • Multi-Specialty Clinic/Center
  • Beaverton, OR
  • NPI 1407882772
  Medicare reassignment NPD
• NW Occupational Medicine Center

  • Multi-Specialty Clinic/Center
  • Portland, OR
  • NPI 1790921534
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1649215336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 SW BEAVERTON HILLSDALE HWY",
            "address_2": "SUITE 205",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053315",
            "telephone_number": "503-684-7246",
            "fax_number": "503-624-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORBER",
        "first_name": "BRADFORD",
        "middle_name": "BENTON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD22166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Guadalupe Lopez-Ortiz, QMHP INTERN
• Halley M Lopez, PHARMD
• Joaquin Lopez, MS
• Juan Gabriel Lopez, PHARM.D.
• Kaylie Lopez
• Michael Lorio, D.M.D.
• Amanda Lorts
• Daniela M Lostumbo-Frelly, LMT
• Windy Loudon-Stalheim
• Kristin Lee Lougee, COTA

• Specialist in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2011; 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.

Verify at the official NPI Registry.