Brian Kreul MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD28013 Issued in OR

Legal business name

BRIAN KREUL MD PC

Practice address

490 Murphy Rd
Medford, OR 97504-8144

Phone

(541) 773-6700

Fax

(866) 430-4035

NPI assigned

May 17, 2010

Organization subpart

No

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

Authorized official

Name

Brian R Kreul, MDNPI 1205944782

Title

President

Phone

(541) 773-6700

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Kreul, MD

  • Surgery of the Hand (Plastic Surgery) Physician
  • Medford, OR
  • NPI 1205944782

  OR

  Medicare reassignment NPD Authorized official
• William David Goforth, DPM

  • Foot & Ankle Surgery Podiatrist
  • Medford, OR
  • NPI 1366768699
  NPD (past)
• Heather Aileen Holdermann, D.P.M.

  • Podiatrist
  • Medford, OR
  • NPI 1013935360
  NPD (past)
• James Shawn Holdermann, D.P.M.

  • Podiatrist
  • Medford, OR
  • NPI 1902824253
  NPD (past)
• B Christine S Hollingsworth, RNFA

  • Registered Nurse First Assistant
  • Medford, OR
  • NPI 1962066308
  NPD (past)

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1659699585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-773-6700",
            "fax_number": "866-430-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490 MURPHY RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048144",
            "telephone_number": "541-773-6700",
            "fax_number": "866-430-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN KREUL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "KREUL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-773-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD28013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD28013",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1205944782",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keith Allen Breswick, MS, QMHP
• Maryelizabeth A Breton, MS, NCC
• Emily Marie Brewster, MSW, LICSW, LCSW
• Jordan Brewster, DPT
• Brian J Smith, DC
• Brian L Prins DMD PC
• Bridges to Wellbeing LLC
• Laura Bridges, LCSW, QMHP
• Christopher Brignone
• Amanda Brimmer

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.