Brent Frazee, MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD179772 Issued in OR

Legal business name

BRENT FRAZEE, MD, LLC

Practice address

325 NW 21St Ave Ste 100
Portland, OR 97209-1179

Phone

(503) 886-8588

Fax

(503) 200-1011

NPI assigned

Jan 23, 2017

Last updated

Oct 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Brent William Frazee, M.D.NPI 1952644023

Title

Sole Member

Phone

(512) 635-9382

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Brent William Frazee, M.D.

  • Psychiatry Physician
  • Portland, OR
  • NPI 1952644023
  Authorized official Same address or phone

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

{
    "created_epoch": "1485129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508025600000",
    "number": "1861939282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 NW 21ST AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091179",
            "telephone_number": "503-886-8588",
            "fax_number": "503-200-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 NW 21ST AVE STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091179",
            "telephone_number": "503-886-8588",
            "fax_number": "503-200-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT FRAZEE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-10-15",
        "status": "A",
        "authorized_official_last_name": "FRAZEE",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "512-635-9382",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD179772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seth Andrew Brennan, RPH
• Tai Lyn Brennan
• Thomas D. Brennan, MD
• Loren Brenner
• Brent Felnagle Psychology LLC
• Eric R. Brentlinger, M.D.
• Amy Rose Brenton, LMT
• Leslie A Brenton, RD LD
• James Bresee, M.D.
• Morgan Christina Bresko, MSW, MPH

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2017; 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.