Bradley A Nymeyer, LAC, LMT

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC207357 Issued in OR

Practice address

63 Touchstone
Lake Oswego, OR 97035-1903

Phone

(503) 927-7909

NPI assigned

Aug 11, 2008

Last updated

Dec 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1699921593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13051 SW JENKINS RD",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970051314",
            "telephone_number": "503-927-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 TOUCHSTONE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970351903",
            "telephone_number": "503-927-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYMEYER",
        "first_name": "BRADLEY",
        "middle_name": "A",
        "credential": "LAC, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U02713",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC207357",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "10989",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "6010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Mobility LLC
• Northwest Surgical Specialists PC (Rebound Lake Oswego)
• Hadi Nouredine, D.M.D.
• Kellie Anne Nunn, MSW, LCSW
• Nutrition for Autoimmunity, LLC
• Samantha O'Brien, L.AC., LMT
• Kailey O'Connor
• Stephanie Kirsten O'Donnell-Peters
• Anne M O'Donnell, M.S., LPC, CADC III
• Ellen M. O'Hara, D.C.

• Acupuncturist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.