| Jeremy Brodhead, NP | |
|
339 Sw Century Dr Ste 201, Bend, OR 97702-1338 | |
| (541) 316-5693 | |
| (541) 255-0947 |
| Full Name | Jeremy Brodhead |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 11 Years |
| Location | 339 Sw Century Dr Ste 201, Bend, 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 |
|---|---|---|---|
| 1801272513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | 201507653NP-PP (Oregon) | Secondary |
| 363L00000X | Nurse Practitioner | 200843322RN (Oregon) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Charles Medical Center - Bend | Bend, OR | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Healing Roots Medicine Llc | 5597095620 | 2 |
| Entity Name | Hearthside Medicine Family Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477051795 PECOS PAC ID: 5597095620 Enrollment ID: O20191002002684 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Brodhead, NP 339 Sw Century Dr Ste 201, Bend, OR 97702-1338 Ph: (541) 316-5693 | Jeremy Brodhead, NP 339 Sw Century Dr Ste 201, Bend, OR 97702-1338 Ph: (541) 316-5693 |
Mr. Nicholas J Campo Iii, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 233 Sw Wilson Ave Ste 201, Bend, OR 97702 Phone: 541-382-8862 Fax: 541-382-8928 | |
Elaine Michele Brown, RN ARNP PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2100 Ne Neff Rd Ste B, Bend, OR 97701 Phone: 541-647-2132 Fax: 541-728-0109 | |
Jonathan Andrew Mcfadyen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-2811 | |
Molly K Torvik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 | |
Jennifer Nicole Herr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1501 Ne Medical Center Dr, Bend, OR 97701 Phone: 541-382-4900 | |
Samantha Mullis, NNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2500 Ne Neff Rd, Bend, OR 97701 Phone: 541-382-4321 Fax: 541-706-7068 | |
Ms. Jordan Meier, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1345 Nw Wall St Ste 202, Bend, OR 97703 Phone: 541-204-2021 Fax: 541-325-4011 |