Brandi S. Myers DPM, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

DP00355 Issued in OR

Legal business name

BRANDI S. MYERS DPM, LLC

Practice address

7836 SE 13TH Ave
Portland, OR 97202-6350

Phone

(503) 235-8594

Fax

(503) 235-3315

NPI assigned

Mar 4, 2008

Last updated

Dec 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brandi Sue Myers, DPMNPI 1689700486

Title

Dr./Owner

Phone

(503) 235-3315

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Sue Myers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
  • NPI 1689700486
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1679743876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026350",
            "telephone_number": "503-235-8594",
            "fax_number": "503-235-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7836 SE 13TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026350",
            "telephone_number": "503-235-8594",
            "fax_number": "503-235-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDI S. MYERS DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "DR./OWNER",
        "authorized_official_telephone_number": "503-235-3315",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP00355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "269549",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecilia B Brandenburg, CADC II/QMHA-I
• John Paul Brandenburg
• Daniel Brandes
• Jessica Brandes, ND
• Richard W Brandes, MD
• Heather Brandi
• Karlee Brandini
• Kevin Christopher Brandini, RN
• Brandon Johnson Counseling LLC
• Emmy Brandon, DPT

• Foot & Ankle Surgery Podiatrist in Portland, OR
• Providers in Portland, OR by specialty
• Foot & Ankle Surgery Podiatrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2008; 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.