Brian Bizub, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD219786 Issued in OR

Practice address

9775 SE Sunnyside Rd Ste 200
Clackamas, OR 97015-5721

Phone

(503) 655-8471

NPI assigned

Apr 21, 2021

Sex

Male

Sole proprietor

No

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.

• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1841443587

  OR

  Medicare reassignment Care Compare group NPD
• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Clackamas, OR
  • NPI 1891042487
  Care Compare group NPD
• County of Clackamas Office of County Auditor

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milwaukie, OR
  • NPI 1245269315
  Care Compare group NPD
• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1447507215
  Care Compare group
• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Oregon City, OR
  • NPI 1720017809
  Care Compare group
• Clackamas County

  • Federally Qualified Health Center (FQHC)
  • Sandy, OR
  • NPI 1841442001
  Care Compare group
• County of Clackamas Office of County Auditor

  • Federally Qualified Health Center (FQHC)
  • Sandy, OR
  • NPI 1043566847
  Care Compare group
• County of Clackamas Office of County Auditor

  • Federally Qualified Health Center (FQHC)
  • Gladstone, OR
  • NPI 1275880866
  Care Compare group

Specialty

Family Practice

Education

University of Wisconsin School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of Clackamas Office of County Auditor 75 clinicians

Practice addresses (Care Compare)

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2024.

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1891377784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9775 SE SUNNYSIDE RD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155721",
            "telephone_number": "503-655-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 SE SUNNYSIDE RD STE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155721",
            "telephone_number": "503-655-8471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIZUB",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD219786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Bigler, CRNA
• Edward Birnbaum, RRT
• Nourolhoda Birouti, MD
• James M Bisio, MD
• Andrew Joseph Bitney, DO
• Amber Leigh Black, MOT, OTR/L
• Paula Dawn Blacketor, M.D.
• Gregory James Blair, M.D.
• Sharen Ann Blake, CNM
• Bryan Blalock

• All providers in Clackamas, OR
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.