NPIMap

Individual provider Active NPI

Leslie Bryden, MD

  • Family Medicine Physician
  • Milwaukie, OR
National Provider Identifier
1760634877
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD154013 Issued in OR
Practice address
3033 SE Monroe St
Milwaukie, OR 97222-6636
Phone
(503) 659-4988
Fax
(503) 659-4730
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD154013 OR Primary

Addresses

Primary practice location

3033 SE Monroe St
Milwaukie, OR 97222-6636

Mailing address

3033 SE Monroe St
Milwaukie, OR 97222-6636
Phone (503) 659-4988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000657 OR Practitioner - Family Practice 1254503329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Primary Care Group PCGroup PAC ID 0244125052, 44 clinicians

Practice addresses (Care Compare)

3033 SE Monroe St
Milwaukie, OR 97222-6636
Phone (503) 659-4988

Hospital & facility affiliations

  • Providence Home Health Home health agency, Portland, OR, CCN 387048
  • Providence Hospice Hospice, Portland, OR, CCN 381500
  • Providence Milwaukie Hospital Hospital, Milwaukie, OR, CCN 380082
  • Providence Willamette Falls Medical Center Hospital, Oregon City, OR, CCN 380038
  • Willamette View Health Center Nursing home, Milwaukie, OR, CCN 385200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Primary Care Group PC Family Medicine Current Accepting new patients
Northwest Primary Care Group PC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: leslie.bryden.1@30939.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 6

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": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1760634877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226636",
            "telephone_number": "503-659-4988",
            "fax_number": "503-659-4730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 SE MONROE ST",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972226636",
            "telephone_number": "503-659-4988",
            "fax_number": "503-659-4730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYDEN",
        "first_name": "LESLIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD154013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukie, OR

Sources for this page

Verify at the official NPI Registry.