Brent C Beenders, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD200833 Issued in OR

Practice address

2600 Center St NE
Salem, OR 97301-2669

Phone

(503) 562-0479

NPI assigned

May 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623369600000",
    "number": "1831500941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 S BOND AVE UNIT 2406",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972394577",
            "telephone_number": "309-648-5228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 CENTER ST NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973012669",
            "telephone_number": "503-562-0479"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 SW Bond Ave",
            "address_2": "Unit 2406",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972394571",
            "country_code": "US",
            "telephone_number": "309-648-5228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEENDERS",
        "first_name": "BRENT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD200833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON MEDICAL BOARD",
            "identifier": "MD200833",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Scott Ryan Beckmann, CCP
• Mary Josephine Bedell, ACNS-BC
• Justin Douglas Bednar, PHARM.D.
• Marina Bednarowski
• Linda Joy Bednarz, LPC
• Behavioral Health LLC
• Brent Beirdneau, DPM
• Scott Beiswenger, MD
• Jessica Beitel
• Mary Katherine Beland, M.D.

• Psychiatry Physician in Salem, OR
• Providers in Salem, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.