| Bradley Brian Hubbard, MD | |
|
930 Sw Abbey St, Newport, OR 97365-4820 | |
| (541) 574-1818 | |
| (541) 574-1831 |
| Full Name | Bradley Brian Hubbard |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 41 Years |
| Location | 930 Sw Abbey St, Newport, Oregon |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083660245 | NPI | - | NPPES |
| 8147597 | Medicaid | WA | |
| 5088HU | Other | WA | BSWA |
| 0217366 | Other | WA | LIWA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 27797 (Arizona) | Secondary |
| 207P00000X | Emergency Medicine | MD29012 (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Dignity Health - Arizona General Hospital | Laveen, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tec Emergency Physicians Of Arizona, Llc | 6204256084 | 127 |
| Entity Name | Emergency Group Of Arizona Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215275433 PECOS PAC ID: 1355596644 Enrollment ID: O20130313000442 |
| Entity Name | Tec Emergency Physicians Of Arizona, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245772870 PECOS PAC ID: 6204256084 Enrollment ID: O20201016000157 |
| Mailing Address | Practice Location Address |
|---|---|
| Bradley Brian Hubbard, MD 505 S 336th St, Suite 600, Federal Way, WA 98003-5947 Ph: (253) 838-6180 | Bradley Brian Hubbard, MD 930 Sw Abbey St, Newport, OR 97365-4820 Ph: (541) 574-1818 |
Dr. William Randolph Fraser, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1831 | |
Dr. H. Joshua Carson, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1831 | |
Michael P Cruise, PA-C Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 705 Sw Coast Hwy, Newport, OR 97365 Phone: 541-574-4860 | |
Reed S Epstein, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 Fax: 541-574-1831 | |
Dr. Brandon Michael Dahl, DO Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 930 Sw Abbey St, Newport, OR 97365 Phone: 541-265-2244 | |
Dr. Ashley W Forsyth, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1211 Sw Bay St, Unit B, Newport, OR 97365 Phone: 541-270-7146 |