Fern Gardens Memory Care LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

FERN GARDENS MEMORY CARE LLC

Practice address

2636 Table Rock Rd
Medford, OR 97501-1525

Phone

(541) 779-3368

Fax

(541) 500-3021

NPI assigned

Apr 24, 2025

Last updated

Apr 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Lynn Brodbeck

Title

Executive Director

Phone

(419) 789-1181

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1745452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1780471326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 TABLE ROCK RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011525",
            "telephone_number": "541-779-3368",
            "fax_number": "541-500-3021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 TABLE ROCK RD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975011525",
            "telephone_number": "541-779-3368",
            "fax_number": "541-500-3021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERN GARDENS MEMORY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-24",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-24",
        "status": "A",
        "authorized_official_last_name": "BRODBECK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-789-1181"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan F Fennell, MD
• Michael S Fennell, M.D.
• Kirsten Ferguson, SLP
• Lydia Kate Ferguson, RDH, EPP
• Olivia Marie Ferguson
• Laura Korin Ferrara, L.M.T
• Ashley A Ferreira, DNP
• Gretchen H Ferreira, MA, LMFT
• Joshua Ferreira
• Paige Nicole Ferreira, OTR/L

• Alzheimer Center (Dementia Center) in Medford, OR
• Providers in Medford, OR by specialty
• Alzheimer Center (Dementia Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.