Thomas Brand, D.O.
Individual provider Active NPI Anesthesiology Physician · Brookings, OR
NPI 1780640243 · NPPES record last updated Mar 14, 2015
Key facts
- NPI
- 1780640243
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- DO20224 (OR)
- Practice address
- 17265 Mt Dr # 4520
Brookings, OR 97415-9296 - Phone
- (514) 690-7314
- Fax
- (541) 469-0731
- NPI assigned
- Apr 25, 2006
- Reactivated
- Feb 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO20224 | OR | MD | Anesthesiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | DO20224 | OR | Yes |
Addresses
Primary practice location
17265 Mt Dr # 4520
Brookings, OR 97415-9296
Mailing address
PO Box 4520
Brookings, OR 97415-0075
Phone (514) 690-7314
Other providers in Brookings, OR
- Shannon Bonde
- Charles Michael Bourland
- Ella Rose Bowron
- Marian L Boye
- Jennifer M. Boyle
- Steven T. Brantingham
- Kerstin Bravo
- Brice Chang Dentist PC
- Susan Elaine Brickley
- Brookings Community Resource Response
All providers in Brookings, OR · Anesthesiology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.