BRIAN KREUL (NPI# 1205944782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205944782 |
| Entity Type | Individual |
| Full Name | BRIAN KREUL |
| Credential | MD |
| Practice Address |
2959 Siskiyou Blvd Suite A Medford OR 97504-8131 |
| Mailing Address |
3200 Hillcrest Park Dr 200 Medford OR 97504-7686 |
| Practice Telephone | 5417732110 |
| Practice Fax Number | 5417347368 |
| Mailing Telephone | 5417736700 |
| Mailing Fax Number | 8664304035 |
| Enumeration Date | 2006-08-26 |
| Last Update Date | 2015-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208200000X | Plastic Surgery | MD28013 | OR | Allopathic & Osteopathic Physicians |
| Y | 2082S0105X |
Plastic Surgery Specialization: Surgery of the Hand |
MD | OR | Allopathic & Osteopathic Physicians |
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
MD28013 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | NPI | 1205944782 | 01 |
| Street Address |
2959 SISKIYOU BLVD SUITE A |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-8131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225075377 | Dwight R Tribelhorn | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-05-31 |
| 1316331325 | Jennifer Sigrid Barklund | Dermatology | 2959 Siskiyou Blvd, Medford, OR 97504-8131 | 2015-03-27 |
| 1548526114 | Laurel Naversen Geraghty | Dermatology | 2959 Siskiyou Blvd, Ste B, Medford, OR 97504-8131 | 2012-04-07 |
| 1780940734 | Leon Norman Hsu | Dermatology | 2959 Siskiyou Blvd, Ste B, Medford, OR 97504-8131 | 2012-04-04 |
| 1861677460 | Ronald G Worland | Surgery | 2959 Siskiyou Blvd, Ste A, Medford, OR 97504-8131 | 2008-01-02 |
| 1336294321 | Dermatology and Laser Associates of Medford | Dermatology | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2007-01-23 |
| 1780743526 | Plastic Surgery Specialists PC | Plastic Surgery | 2959 Siskiyou Blvd, Suite A, Medford, OR 97504-8131 | 2006-12-07 |
| 1568405496 | Douglas N Naversen | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-06-14 |
| 1568403228 | Jon David Igelman | Specialist | 2959 Siskiyou Blvd, #b, Medford, OR 97504-8131 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 2082S0105X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| Specialization | Surgery of the Hand |
| A plastic surgeon with additional training in the investigation, preservation, and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720507007 | Zvi Margaliot | Plastic Surgery | 15390 Nw Cornell Rd Ste 225, Beaverton, OR 97006-5627 | 2017-09-18 |
| 1215201413 | Donald Fraser Teal | Plastic Surgery | 2835 Capital Dr, Eugene, OR 97403-1875 | 2012-03-06 |
| 1225215015 | Geoffrey Buncke Md PC | Plastic Surgery | 1040 Nw 22nd, Suite 550, Portland, OR 97210 | 2008-01-24 |
| 1699772277 | Richard C. Havard | Plastic Surgery | 2298 Nw Kings Blvd, Corvallis, OR 97330-3923 | 2005-06-28 |
| 1992109557 | Gregory L. Combs, M.d., P.C. | Plastic Surgery | 1914 Willamette Falls Dr, Suite 210, West Linn, OR 97068-4688 | 2014-10-10 |
| 1952519134 | Charles D Layman Md PC | Plastic Surgery | 9155 Sw Barnes Rd, Suite 220, Portland, OR 97225-6625 | 2007-05-19 |
| 1295863520 | Geoffrey Harry Buncke | Plastic Surgery | 1040 Nw 22nd Ave, Suite 550, Portland, OR 97209 | 2007-02-28 |
| 1952394884 | Charles Donald Layman | Plastic Surgery | 9155 Sw Barnes Rd, Ste 220, Portland, OR 97225-6625 | 2005-08-25 |
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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.