Individual provider Active NPI

Chad Tee Brown, MD

  • Psychiatry Physician
  • Bend, OR
National Provider Identifier
1881729945
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD28568 Issued in OR
Practice address
2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185
Phone
(541) 323-8705
Fax
(541) 323-8707
NPI assigned
Feb 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X MD28568 OR
Psychiatry Physician 2084P0800X MD28568 OR Primary

Addresses

Primary practice location

2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185

Mailing address

2239 NE Doctors Dr Ste 110
Bend, OR 97701-7185
Phone (541) 323-8705

Other practice location 1

809 E Jackson St
Medford, OR 97504-6713
Phone (541) 245-3614

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
I20081020000537 OR Practitioner - Psychiatry 4587722574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Texas Medical School at Houston, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2239 NE Doctors Dr
Suite 110
Bend, OR 97701-7185
Phone 54132387050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD28568ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Path to Awareness PC Psychiatry CurrentSince May 1, 2017 Accepting new patients
Firstcare Medical Foundation Psychiatry Past Accepting new patients

Locations

2239 NE Doctors Dr
Ste 110
Bend, OR 97701
Phone (541) 245-3614

809 E Jackson St
Medford, OR 97504
Phone (541) 245-3614

Organizations & group practices 2

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1881729945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 NE DOCTORS DR STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017185",
            "telephone_number": "541-323-8705",
            "fax_number": "541-323-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 NE DOCTORS DR STE 110",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017185",
            "telephone_number": "541-323-8705",
            "fax_number": "541-323-8707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046713",
            "country_code": "US",
            "telephone_number": "541-245-3614",
            "fax_number": "541-245-3549",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "CHAD",
        "middle_name": "TEE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OR",
            "license": "MD28568",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD28568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.