Individual provider Active NPI

Brad Eric Robinson, MD MPH

  • Infectious Disease Physician
  • Roseburg, OR
National Provider Identifier
1972688828
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD16486 Issued in OR
Practice address
2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829
Phone
(541) 229-4009
Fax
(541) 229-3347
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD16486 OR Primary

Addresses

Primary practice location

2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829

Mailing address

2550 NW Edenbower Blvd
Suite 104
Roseburg, OR 97471-8829
Phone (541) 229-4009

Other identifiers 1

IdentifierTypeStateIssuer
009394MedicaidOR

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
I20041025001106 OR Practitioner - Infectious DiseasePractitioner - Internal Medicine 7214998939 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Umpqua Community Health Center, Inc. Current Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Umpqua Community Health Center, Inc. CurrentSince Jun 11, 2018 Accepting new patients
Brad E Robinson MD PC Infectious Disease PastSince Apr 30, 2004 Accepting new patients

Locations

150 NE Kenneth Ford Dr
Roseburg, OR 97470

Organizations & group practices 4

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314921600000",
    "number": "1972688828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 NW EDENBOWER BLVD",
            "address_2": "SUITE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718829",
            "telephone_number": "541-229-4009",
            "fax_number": "541-229-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NW EDENBOWER BLVD",
            "address_2": "SUITE 104",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974718829",
            "telephone_number": "541-229-4009",
            "fax_number": "541-229-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "BRAD",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2011-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD16486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009394",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

Verify at the official NPI Registry.