Active NPI
Brooklyn Bach, NP
- Acute Care Nurse Practitioner
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 201800724NP-PP
- Practice address
- Ohsu Medicine Hematology & Medical Oncology
3181 SW Sam Jackson Park Rd; L586
Portland, OR 97239 - Phone
- (503) 494-8584
- NPI assigned
- Mar 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 687345 | NY | |
| Registered Nurse | 163W00000X | 2304378 | MA | |
| Acute Care Nurse Practitioner | 363LA2100X | 201800724NP-PP | OR | Primary |
Addresses
Primary practice location
Ohsu Medicine Hematology & Medical Oncology
3181 SW Sam Jackson Park Rd; L586
Portland, OR 97239
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-5058
Other practice location 1
27 Park St
Hyannis, MA 02601-5230
Phone (508) 771-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2330 Post St
San Francisco, CA 94115-3465
Phone (415) 476-4029
3100 San Pablo Ave
Berkeley, CA 94702-2498
Phone (510) 985-5020
400 Parnassus Ave
San Francisco, CA 94143-2202
Hospital & facility affiliations
- UCSF Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 80.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.89 of 100
- Quality
- 81.13
- Improvement activities
- 40
- Cost
- 71.5
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2304378 | MA | MD | Registered Nurse |
| 687345 | NY | MD | Registered Nurse |
| 201800724NP-PP | OR | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Acute Care | Current | Accepting new patients |
| Community Hospital of the Monterey Peninsula | Current | Accepting new patients | |
| UCSF Dept of Surgery | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Locations
23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
1701 Divisadero St
Ste 120
San Francisco, CA 94115
Phone (415) 353-7655
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
Organizations & group practices 11
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
Acute Care
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1225285810
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1760552343
-
- Surgery Physician
- San Francisco, CA
- NPI 1477627537
-
- General Acute Care Hospital
- Monterey, CA
- NPI 1932197258
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1164512851
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
-
- Rheumatology Physician
- San Francisco, CA
- NPI 1881763597
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1689772592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534464000000",
"number": "1780077750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-494-5058",
"fax_number": "503-494-1552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "OHSU MEDICINE HEMATOLOGY & MEDICAL ONCOLOGY",
"address_2": "3181 SW SAM JACKSON PARK RD; L586",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97239",
"telephone_number": "503-494-8584"
}
],
"practiceLocations": [
{
"address_1": "27 Park St",
"address_purpose": "LOCATION",
"city": "Hyannis",
"state": "MA",
"postal_code": "026015230",
"country_code": "US",
"telephone_number": "508-771-1800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACH",
"first_name": "BROOKLYN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-14",
"last_updated": "2018-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "687345",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "2304378",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "OR",
"license": "201800724NP-PP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.