Individual provider Active NPI

Brittany Leigh Tabler, MD

  • Surgery Physician
  • Grants Pass, OR
National Provider Identifier
1679830566
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60783054 Issued in WA
Practice address
537 Union Ave FL 2
Grants Pass, OR 97527-5543
Phone
(541) 507-2110
Fax
(541) 479-6779
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60783054 WA Primary

Addresses

Primary practice location

537 Union Ave FL 2
Grants Pass, OR 97527-5543

Mailing address

2825 E Barnett Rd # MSS
Medford, OR 97504-8332
Phone (541) 507-2110

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address btabler831040@wm.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200610002500 IL Practitioner - General Surgery 8628343043 Reassigns benefits to 1 organization
I20240510003011 OR Practitioner - General Surgery 8628343043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

280 Maple St
Ashland, OR 97520-1552
Phone (541) 201-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy70
Hernia repair (minimally invasive)11
Mastectomy11
Upper gastrointestinal (GI) endoscopy for acid reflux62
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60783054WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Memorial Hospital, Inc. CurrentSince May 4, 2020 Accepting new patients
Asante Physician Partners Surgery CurrentSince Jun 3, 2024 Accepting new patients
Richland Memorial Hospital, Inc Surgery CurrentSince May 4, 2020 Accepting new patients
Richland Memorial Hospital, Inc Current Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

900 E Scott St
Olney, IL 62450
Phone (618) 345-1000

800 E Locust St
Olney, IL 62450
Phone (618) 395-2131

1201 Ricker Rd
Salem, IL 62881
Phone (618) 548-3194

280 Maple St
Ashland, OR 97520
Phone (541) 201-4000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

Interoperability endpoints

  • Direct secure messaging: btabler831040@wm.providencedirect.org
  • Direct secure messaging: btablermd309141@carlehiedirect.net

Organizations & group practices 5

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 4

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": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1679830566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD # MSS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-507-2110",
            "fax_number": "541-479-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 UNION AVE FL 2",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275543",
            "telephone_number": "541-507-2110",
            "fax_number": "541-479-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLER",
        "first_name": "BRITTANY",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60783054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "btabler831040@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "30 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597253535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.