Active NPI
Brent William Frazee, M.D.
- Psychiatry Physician
- Portland, OR
National Provider Identifier
1952644023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD179772
- Practice address
- 325 NW 21St Ave Ste 100
Portland, OR 97209-1179 - Phone
- (503) 886-8588
- Fax
- (503) 200-1011
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD179772 | OR | Primary |
Addresses
Primary practice location
325 NW 21St Ave Ste 100
Portland, OR 97209-1179
Mailing address
325 NW 21St Ave Ste 100
Portland, OR 97209-1179
Phone (503) 886-8588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD179772 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508025600000",
"number": "1952644023",
"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": {
"last_name": "FRAZEE",
"first_name": "BRENT",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2017-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD179772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- 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.