Individual provider Active NPI

Brian Wakefield, M.D.

  • Obstetrics & Gynecology Physician
  • Eugene, OR
National Provider Identifier
1861923666
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD203687 Issued in OR
Practice address
10 Coburg Rd Ste 100
Eugene, OR 97401-7479
Phone
(541) 284-5520
Fax
(541) 686-4814
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD203687 OR Primary

Addresses

Primary practice location

10 Coburg Rd Ste 100
Eugene, OR 97401-7479

Mailing address

10 Coburg Rd Ste 100
Eugene, OR 97401-7479
Phone (541) 284-5520

Other practice location 1

Univ Of Washington Dept Ofobgyn
1959 NE Pacific St. Box 356460
Seattle, WA 98195-0001
Phone (206) 598-5500

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
I20210715002065 OR Practitioner - Obstetrics/Gynecology 5890063978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Virginia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Womens Care PCGroup PAC ID 8820986458, 38 clinicians

Practice addresses (Care Compare)

10 Coburg Rd
Suite 100
Eugene, OR 97401-7479
Phone (541) 868-9700

Hospital & facility affiliations

  • Sacred Heart Medical Center - Riverbend Hospital, Springfield, OR, CCN 380102

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Womens Care, PC Obstetrics & Gynecology CurrentSince Oct 1, 2023 Accepting new patients
Pacific Womens Center LLC Obstetrics & Gynecology CurrentSince Aug 16, 2021 Accepting new patients
Peacehealth Past Accepting new patients

Locations

911 Country Club Rd
Ste 222
Eugene, OR 97401
Phone (541) 342-2477

590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559

10 Coburg Rd
Ste 100
Eugene, OR 97401
Phone (541) 342-8616

Interoperability endpoints

  • Direct secure messaging: bwakefie@yourcarecommunity.org

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1861923666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017479",
            "telephone_number": "541-284-5520",
            "fax_number": "541-686-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 COBURG RD STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974017479",
            "telephone_number": "541-284-5520",
            "fax_number": "541-686-4814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Univ Of Washington Dept Ofobgyn",
            "address_2": "1959 NE Pacific St. Box 356460",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-598-5500",
            "fax_number": "206-598-8722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "BRIAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD203687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.