Individual provider Active NPI

Raymond Brumbaugh, MD

  • Physical Medicine & Rehabilitation Physician
  • Keizer, OR
National Provider Identifier
1861500548
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD23948 Issued in OR
Practice address
3624 River Rd N
Keizer, OR 97303-5630
Phone
(503) 561-5976
Fax
(503) 561-4912
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X MD23948 OR Primary

Addresses

Primary practice location

3624 River Rd N
Keizer, OR 97303-5630

Mailing address

3624 River Rd N
Keizer, OR 97303-5630
Phone (503) 561-5976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100924001282 OR Practitioner - Physical Medicine and Rehabilitation 6800821943 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Health CurrentSince Aug 23, 2016 Accepting new patients
Salem Rehabilitation Associates, Inc. Physical Medicine & Rehabilitation CurrentSince Jul 29, 2002 Accepting new patients
Salem Health CurrentSince Aug 23, 2016 Accepting new patients

Locations

3624 River Rd N
Keizer, OR 97303
Phone (503) 561-5976

1049 Edgewater St NW
#150
Salem, OR 97304
Phone (503) 814-3343

665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634

890 Oak St SE
Salem, OR 97301
Phone (503) 585-0830

875 Oak St SE
Salem, OR 97301
Phone (503) 561-5719

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1861500548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035630",
            "telephone_number": "503-561-5976",
            "fax_number": "503-561-4912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3624 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973035630",
            "telephone_number": "503-561-5976",
            "fax_number": "503-561-4912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMBAUGH",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OR",
            "license": "MD23948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

Verify at the official NPI Registry.