Individual provider Active NPI

Richard W Brandes, MD

  • Gastroenterology Physician
  • Portland, OR
National Provider Identifier
1750420766
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD29378 Issued in OR
Practice address
10000 SE Main St Ste 112
Portland, OR 97216-2441
Phone
(503) 255-3054
Fax
(503) 255-7651
NPI assigned
Feb 6, 2007
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 2003-0295 NM
Gastroenterology Physician 207RG0100X MD29378 OR Primary

Addresses

Primary practice location

10000 SE Main St Ste 112
Portland, OR 97216-2441

Mailing address

10000 SE Main St Ste 112
Portland, OR 97216-2441
Phone (503) 255-3054

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090911000647 OR Practitioner - GastroenterologyPractitioner - Internal Medicine 7810042090 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Oregon Health Sciences University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Portland Adventist Medical CenterGroup PAC ID 3274908819, 273 clinicians

Practice addresses (Care Compare)

10000 SE Main St
Suite 112
Portland, OR 97216-2441
Phone (503) 255-3054

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92 of 100Reported as group
Quality
84.7
Promoting interoperability
100
Improvement activities
40
Cost
79.21

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy66
Upper gastrointestinal (GI) endoscopy for acid reflux82

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-0295NMMDGastroenterology Physician
MD29378ORMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Adventist Medical Center Gastroenterology CurrentSince Nov 10, 2022 Accepting new patients
Salem Gastroenterology Consultants, PC Gastroenterology CurrentSince Sep 1, 2010 Accepting new patients
Portland Adventist Medical Center CurrentSince Nov 10, 2022 Accepting new patients
Portland Adventist Medical Center CurrentSince Jul 8, 2023 Accepting new patients
Portland Adventist Medical Center Gastroenterology CurrentSince Jul 8, 2023 Accepting new patients
North Clark Medical Group LLC Past Accepting new patients
Portland Adventist Medical Center Past Accepting new patients

Locations

10151 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015
Phone (503) 659-0880

607 SE Jefferson St
Dallas, OR 97338
Phone (503) 399-7520

14450 SE Royer Rd
Damascus, OR 97089
Phone (503) 658-5521

10000 SE Main St
Ste 112
Portland, OR 97216
Phone (503) 255-3054

10123 SE Market St
Portland, OR 97216
Phone (503) 251-6355

875 Oak St SE
Ste 3010
Salem, OR 97301
Phone (503) 399-7520

875 Oak St SE
Ste C3010
Salem, OR 97301
Phone (503) 399-7520

Interoperability endpoints

  • Direct secure messaging: rbrandes154336@direct.ohsu.edu

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1750420766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 112",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162441",
            "telephone_number": "503-255-3054",
            "fax_number": "503-255-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 SE MAIN ST STE 112",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972162441",
            "telephone_number": "503-255-3054",
            "fax_number": "503-255-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDES",
        "first_name": "RICHARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NM",
            "license": "2003-0295",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OR",
            "license": "MD29378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.