DR. BRIAN WILLIAM LANE (NPI# 1073540118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073540118 |
| Entity Type | Individual |
| Full Name | DR. BRIAN WILLIAM LANE |
| Credential | M.D. |
| Practice Address |
1201 N Elm Prineville OR 97754 |
| Mailing Address |
11436 Brian Ln Ne Poulsbo WA 98370-7919 |
| Practice Telephone | 5414476254 |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2008-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD19148 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8385643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720103880 | Brian Thomas Lane | Counselor | 40 Bergen Ave, Waldwick, NJ 07463-1936 | 2007-03-20 |
| 1376687962 | Brian J Lane | Chiropractor | 128 Exeter Rd, Newmarket, NH 03857-2031 | 2007-02-16 |
| 1710072277 | Brian Lane | Dentist | 17 Eagle Park, Vilonia, AR 72173 | 2006-10-03 |
| 1689686578 | Brian E Lane | Physician Assistant | 47 W Owens Ave, North Las Vegas, NV 89030-6865 | 2006-08-12 |
| 1710928932 | Brian M Lane | Dentist | 1601 Paseo San Luis, Suite 103, Sierra Vista, AZ 85635-4779 | 2006-06-09 |
| 1447213319 | Brian Christopher Lane | Chiropractor | 6126 Lovers Ln, Portage, MI 49002-3026 | 2006-04-10 |
| 1427434471 | Brian Lane | Social Worker | 800 Cummings Ctr, Suite 364-u, Beverly, MA 01915-6175 | 2015-07-31 |
| 1356674626 | Brian Robert Lane | Physical Medicine & Rehabilitation | 8701 Cuyamaca St, Santee, CA 92071 | 2009-09-17 |
| 1588787006 | Brian R Lane | Urology | 4069 Lake Dr Se, Ste. 313, Grand Rapids, MI 49546-8816 | 2007-04-09 |
| 1457490732 | Brian Colby Lane | Chiropractor | 407 S Clairborne Rd, Suite 201, Olathe, KS 66062-1744 | 2007-02-05 |
| Street Address |
1201 N ELM |
| City | PRINEVILLE |
| State | OR |
| Zip Code | 97754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497783344 | Daniel S Ballin | Emergency Medicine | 1201 N Elm, Prineville, OR 97754-1206 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598246290 | Phyllis Louise Young | Physical Therapy Assistant | 350 Ne Brennan Ln, Prineville, OR 97754 | 2018-08-22 |
| 1316424518 | Monte Bainbridge | Counselor | 1103 Ne Elm St Ste B, Prineville, OR 97754 | 2018-07-20 |
| 1841739760 | Gregory Wayne Sanders | Marriage & Family Therapist | 445 Nw 3rd Street, Prineville, OR 97754 | 2017-02-13 |
| 1114474962 | Amy R Duryea | Counselor | 1103 Ne Elm St., Prineville, OR 97754 | 2016-09-08 |
| 1669855052 | Rebecca L Griffith | Mechanotherapist | 298 N Holly St, Prineville, OR 97754 | 2015-07-02 |
| 1376810838 | Jessica Lynn Neely | Counselor | 1333 Nw 9th Street, Prineville, OR 97754 | 2011-11-28 |
| 1205076130 | Dean Arthur Laney | Registered Nurse | 375 Nw Beaver St., Suite 100, Prineville, OR 97754 | 2009-03-05 |
| 1699910513 | Ross E Weakley | Acupuncturist | 298 Sw Harwood, Prineville, OR 97754 | 2008-12-05 |
| 1326208752 | Laura Danielle Gratton | Family Medicine | 975 Nw Beaver Street, Prineville, OR 97754 | 2008-06-10 |
| 1811174550 | Central Oregon Eyecare, PC | Optometrist | 198 Ne Combs Flat Rd, Ste 120, Prineville, OR 97754 | 2008-01-24 |
| Find all providers in zip 97754 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043246069 | Douglas Chester Gruzd | Emergency Medicine | 1201 Ne Elm, Prineville, OR 97754 | 2006-06-23 |
| 1174799902 | Barrett Jereme Woodhall | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2008-05-01 |
| 1710160445 | St. Charles Health System, Inc. | Emergency Medicine | 384 Se Combs Flat Rd, Prineville, OR 97754 | 2007-12-17 |
| 1497783344 | Daniel S Ballin | Emergency Medicine | 1201 N Elm, Prineville, OR 97754-1206 | 2006-06-29 |
| 1578509147 | Curtis Andrew Meske | Emergency Medicine | 1201 Ne Elm St, Prineville, OR 97754-1206 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043741010 | Hannah D Wolsiefer-leak | Emergency Medicine | 2826 East Barnett Rd, Medford, OR 97504-8332 | 2017-03-22 |
| 1366896581 | Collin Andrew Wulff | Emergency Medicine | 162 Ne Cloverdale Dr, Albany, OR 97321-1623 | 2016-04-14 |
| 1912361718 | Bryce Edwards | Emergency Medicine | 3181 Sw Sam Jackson Park Road, Ohsu, Portland, OR 97239 | 2016-04-07 |
| 1285013375 | Joseph Severo Simon | Emergency Medicine | 1200 Hilyard St Ste 310, Eugene, OR 97401-8122 | 2015-05-22 |
| 1073907978 | Karen Ta | Emergency Medicine | 10300 Se Main St, Portland, OR 97216 | 2015-03-27 |
| 1104210921 | Elizabeth Hatfield | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Cdw, Portland, OR 97239-3011 | 2015-03-19 |
| 1699171918 | Stephen Boyer | Emergency Medicine | 3708 Sw Lyle Ct, Portland, OR 97221-3963 | 2014-11-13 |
| 1679991590 | Meaghan Dehning | Emergency Medicine | 3181 Sw Sam Jackson Park Rd # Em, Portland, OR 97239-3011 | 2014-03-29 |
| 1760725485 | Deirdre Harmony Witte | Emergency Medicine | Salem Emergency Physicians, C/o Salem Hospital Ed, 890 Oak St, Se, Building A, Salem, OR 97301 | 2013-04-01 |
| 1164765293 | Joshua Starbuck Virgen Goldner | Emergency Medicine | 10180 Se Sunnyside Rd Dept Of, Clackamas, OR 97015-8970 | 2013-03-27 |
| Find all providers with the same taxonomy | ||||
| City | PRINEVILLE |
| Zip Code | 97754 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.