Individual provider Active NPI

Brian Sanders, DPM

  • Podiatrist
  • Baker City, OR
National Provider Identifier
1649707308
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DP199156 Issued in OR
Practice address
2830 10TH St
Baker City, OR 97814-1404
Phone
(541) 524-0122
Fax
(541) 524-2120
NPI assigned
May 12, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DP199156 OR Primary

Addresses

Primary practice location

2830 10TH St
Baker City, OR 97814-1404

Mailing address

2830 10TH St
Baker City, OR 97814-1404
Phone (541) 524-0122

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714003010 OR Practitioner - Podiatry 0547683146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2830 10TH St
Baker City, OR 97814-1404
Phone (541) 524-0122

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, La Grande, OR, CCN 387150
  • St. Alphonsus Medical Center - Baker City Hospital, Baker City, OR, CCN 381315
  • Blue Mountain Hospital Hospital, John Day, OR, CCN 381305
  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue193
Removal of skin lesions1-10
Removal of nail tissue1925
Removal or shaving of skin growth697

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP199156ORMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rushton Podiatry PC Podiatrist CurrentSince Jun 14, 2020 Accepting new patients
Sanders Podiatry LLC Podiatrist CurrentSince Jun 9, 2020 Accepting new patients

Locations

2830 10th St
Baker City, OR 97814
Phone (541) 524-0122

135 Ford Rd
John Day, OR 97845
Phone (541) 524-0122

Interoperability endpoints

  • Direct secure messaging: bsanders@bsanders.unifimddirect.com
  • FHIR API: https://app.meldrx.com/api/fhir/sanderspodiatry

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1649707308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 10TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141404",
            "telephone_number": "541-524-0122",
            "fax_number": "541-524-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 10TH ST",
            "city": "BAKER CITY",
            "state": "OR",
            "postal_code": "978141404",
            "telephone_number": "541-524-0122",
            "fax_number": "541-524-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OR",
            "license": "DP199156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baker City, OR

Sources for this page

Verify at the official NPI Registry.