Individual provider Active NPI

Brandi Sue Myers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Portland, OR
National Provider Identifier
1689700486
Registry record updated Feb 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
DP00355 Issued in OR
Practice address
5225 SE 28TH Ave
Portland, OR 97202-4506
Phone
(503) 235-8594
Fax
(503) 235-3315
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP00355 OR Primary

Addresses

Primary practice location

5225 SE 28TH Ave
Portland, OR 97202-4506

Mailing address

5225 SE 28TH Ave
Portland, OR 97202-4506
Phone (503) 235-8594

Other identifiers 1

IdentifierTypeStateIssuer
269549MedicaidOR

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
I20041115000130 OR Practitioner - Podiatry 3375507023 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5225 SE 28TH Ave
Portland, OR 97202-4506
Phone (503) 235-8594

Hospital & facility affiliations

  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue21
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00355ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brandi S. Myers DPM, LLC Foot & Ankle Surgery CurrentSince Sep 30, 2004 Accepting new patients
Eastmoreland Orthopedic Clinic, P.C. Past Accepting new patients

Locations

5225 SE 28th Ave
Portland, OR 97202
Phone (503) 234-0891

7834 SE 13th Ave
Portland, OR 97202
Phone (503) 235-8594

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8417/brand/1/csg/1/fhir/r4
  • Direct secure messaging: brandi.myers.1@8417.direct.athenahealth.com

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 1

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487548800000",
    "number": "1689700486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024506",
            "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": "5225 SE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972024506",
            "telephone_number": "503-235-8594",
            "fax_number": "503-235-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "BRANDI",
        "middle_name": "SUE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2017-02-20",
        "status": "A"
    },
    "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": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.