Individual provider Active NPI

J Eric Brunswick, M.D.

  • Emergency Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1902864275
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD19341 Issued in OR
Practice address
2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone
(541) 882-6311
Fax
(541) 274-6247
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD19341 OR Primary

Addresses

Primary practice location

2865 Daggett Ave
Klamath Falls, OR 97601-1106

Mailing address

3150 S 6TH St
Klamath Falls, OR 97603-4612
Phone (541) 851-9008

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
I20040608000223 OR Practitioner - Emergency Medicine 9739088840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Oregon Health Sciences University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians
Advanced Aesthetics and WellnessGroup PAC ID 3870949217, 2 clinicians

Practice addresses (Care Compare)

2821 Daggett Ave
Suite 100
Klamath Falls, OR 97601-1106
Phone (541) 274-6733

2865 Daggett Ave
Klamath Falls, OR 97601-1106
Phone (541) 274-6221

3150 S 6TH St
Klamath Falls, OR 97603-4612
Phone (541) 851-9008

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Mar 10, 2020 Accepting new patients
Icco LLC CurrentSince Mar 10, 2020 Accepting new patients
Coquille Valley Hospital District Current Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Mar 22, 2009 Accepting new patients
Icco, LLC Current Accepting new patients
Advanced Aesthetics and Wellness CurrentSince Oct 1, 2021 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Mar 22, 2009 Accepting new patients
Southern Oregon Emergency Care LLC Emergency Medicine Past Accepting new patients

Locations

940 E 5th St
Coquille, OR 97423
Phone (541) 396-3101

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3150 S 6th St
Klamath Falls, OR 97603
Phone (541) 273-5433

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

Interoperability endpoints

  • Direct secure messaging: advancedaesthetics.jbrunswick@155325.advancedmd-direct.com

Organizations & group practices 8

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1902864275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976034612",
            "telephone_number": "541-851-9008",
            "fax_number": "541-851-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2865 DAGGETT AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011106",
            "telephone_number": "541-882-6311",
            "fax_number": "541-274-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUNSWICK",
        "first_name": "J",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OR",
            "license": "MD19341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.