NPIMap

Organization Active NPI

Northwest Cardiovascular Institute, LLP

  • Cardiovascular Disease Physician
  • Portland, OR
National Provider Identifier
1790777258
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
428335 Issued in OR
Legal business name
NORTHWEST CARDIOVASCULAR INSTITUTE, LLP
Practice address
2222 NW Lovejoy St
#606
Portland, OR 97210-3033
Phone
(503) 229-7554
Fax
(503) 274-5400
NPI assigned
Aug 19, 2005
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. Bradley G Titus, M.D.
Title
Managing Partner
Phone
(503) 229-7554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 428335 OR Primary

Addresses

Primary practice location

2222 NW Lovejoy St
#606
Portland, OR 97210-3033

Mailing address

2222 NW Lovejoy St
#606
Portland, OR 97210-3033
Phone (503) 229-7554

Other identifiers 2

IdentifierTypeStateIssuer
7127137MedicaidWA
0621650OtherORBLUE CROSS

National Provider Directory

National Provider Directory

Locations

1200 NW Naito Pkwy
Ste 200
Portland, OR 97209
Phone (503) 943-2340

2222 NW Lovejoy St
Ste 606
Portland, OR 97210
Phone (503) 229-7554

2802 SE Steele St
Portland, OR 97202
Phone (503) 239-0156

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1790777258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "#606",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 NW LOVEJOY ST",
            "address_2": "#606",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103033",
            "telephone_number": "503-229-7554",
            "fax_number": "503-274-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST CARDIOVASCULAR INSTITUTE, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "TITUS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "503-229-7554",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OR",
            "license": "428335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7127137",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0621650",
            "state": "OR"
        }
    ],
    "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 Oct 5, 2012; 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.