Individual provider Active NPI

Bret T Kean, MD

  • Orthopaedic Surgery Physician
  • Clackamas, OR
National Provider Identifier
1871797654
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD28348 Issued in OR
Practice address
10121 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5755
Phone
(503) 659-1769
Fax
(503) 659-7522
NPI assigned
Jun 13, 2007
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD28348 OR Primary

Addresses

Primary practice location

10121 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5755

Mailing address

10121 SE Sunnyside Rd Ste 100
Clackamas, OR 97015-5755
Phone (503) 659-1769

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
I20080917000040 OR Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 2466545306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastside Orthopedics and Sports Medicine LLCGroup PAC ID 7113177353, 4 clinicians

Practice addresses (Care Compare)

6542 SE Lake Rd
Suite 201
Milwaukie, OR 97222-2245
Phone (503) 659-1964

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.38 of 100Reported as group
Quality
69.29
Promoting interoperability
99
Improvement activities
40
Cost
79.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6611350-1205UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services Oregon Current Accepting new patients
Eastside Orthopedics & Sports Medicine, LLC Orthopaedic Surgery CurrentSince Oct 1, 2024 Accepting new patients
Bret T Kean MD PC Orthopaedic Surgery CurrentSince Aug 11, 2008 Accepting new patients
University of Utah Orthopedic Consultants Orthopaedic Surgery Past Accepting new patients
Eastside Orthopedics & Sports Medicine Past Accepting new patients

Locations

10121 SE Sunnyside Rd
Ste 100
Clackamas, OR 97015

25050 SE Stark St
Ste 301
Gresham, OR 97030
Phone (503) 659-1769

810 12th St
Hood River, OR 97031
Phone (541) 386-3911

6542 SE Lake Rd
Ste 201
Portland, OR 97222
Phone (503) 659-1769

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1871797654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155755",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 SE SUNNYSIDE RD STE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155755",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAN",
        "first_name": "BRET",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-13",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD28348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

Verify at the official NPI Registry.