Individual provider Active NPI

Scott E Brennan, PA-C

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1982681789
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA00869 Issued in OR
Practice address
2275 NE Doctors Dr
Ste 2
Bend, OR 97701-6324
Phone
(541) 585-2400
Fax
(541) 585-2407
NPI assigned
Dec 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA00869 OR Primary

Addresses

Primary practice location

2275 NE Doctors Dr
Ste 2
Bend, OR 97701-6324

Mailing address

2275 NE Doctors Dr
Suite 2
Bend, OR 97701-6324
Phone (541) 585-2400

Other practice location 1

108 NW Sisemore St Ste 120
Bend, OR 97703-2869
Phone (541) 213-2133

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000989 OR Practitioner - Physician Assistant 2163479957 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

108 NW Sisemore St
Suite 120
Bend, OR 97703-2869
Phone (541) 640-7625

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

Hospital & facility affiliations

  • St Charles Medical Center - Bend Hospital, Bend, OR, CCN 380047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC Past Accepting new patients
Icco, LLC Past Accepting new patients

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.

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1982681789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "SUITE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-585-2400",
            "fax_number": "541-585-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-585-2400",
            "fax_number": "541-585-2407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 NW Sisemore St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977032869",
            "country_code": "US",
            "telephone_number": "541-213-2133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRENNAN",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA00869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.