BRUCE D CARLSON (NPI# 1669537106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669537106 |
| Entity Type | Individual |
| Full Name | BRUCE D CARLSON |
| Credential | M.D. |
| Practice Address |
236 E Newport Ave Hermiston OR 97838-2449 |
| Practice Telephone | 5415671137 |
| Practice Fax Number | 5415672336 |
| Mailing Telephone | 5415671137 |
| Mailing Fax Number | 5415672336 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2015-12-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD07786 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 223149 | 05 | |
| OR | 182817 | 05 | |
| OR | BLUE CROSS BLUE SHIELD | 080385000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831405851 | Bruce Carlson | Pharmacist | 598 E Highway 290, Dripping Springs, TX 78620-3931 | 2010-08-27 |
| 1427263599 | Bruce Wayne Carlson | Technician, Other | 5946 Nw 88th Ave, Tamarac, FL 33321-4268 | 2007-05-11 |
| 1508912288 | Bruce L Carlson | Counselor | 101 E Broadway Ave, Bismarck, ND 58501 | 2007-01-26 |
| 1891867024 | Bruce Alan Carlson | Dentist | 267 Main St, Lansing, IA 52151 | 2006-11-14 |
| 1578522108 | Bruce K Carlson | Dentist | 1875 Dempster St, Suite 495, Park Ridge, IL 60068-1186 | 2006-03-22 |
| 1700877396 | Bruce A Carlson | Family Medicine | 1501 Thompson St, Bloomer, WI 54724-1257 | 2005-11-02 |
| 1386635449 | Bruce E Carlson | Internal Medicine | 22n285 Pepper Rd, 407, Lake Barrington, IL 60010-5982 | 2005-10-28 |
| Street Address |
236 E NEWPORT AVE |
| City | HERMISTON |
| State | OR |
| Zip Code | 97838-2449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306809009 | Linda Ann Gruenwald | Nurse Practitioner | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2006-04-11 |
| 1326400987 | Randal Jarrell | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2016-03-23 |
| 1740547439 | Jason Lee Johnston | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2012-04-18 |
| 1568766251 | Jamie Tigner | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2011-01-10 |
| 1699090407 | Daniel A Brown | Physician Assistant | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2010-04-05 |
| 1710020771 | Kristine M Clements | Nurse Practitioner | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2007-02-15 |
| 1508921016 | Bruce D. Carlson M.d. | Clinic/Center | 236 E Newport Ave, Hermiston, OR 97838-2449 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275169096 | Aaron Nelson Fitzcharles I | Pharmacist | Rite Pharmacy 835 S Hwy 395, Hermiston, OR 97838 | 2020-03-13 |
| 1558921494 | Hermiston Neck Back and Accident Speacialist | Chiropractor | 1055 S Hwy 395, Hermiston, OR 97838 | 2019-06-13 |
| 1598211997 | Maria Faaeteete | Registered Nurse | 600 Nw 11th St. Suite E15, Hermiston, OR 97838 | 2016-08-26 |
| 1013362649 | Bianka Nydia Munoz | Chiropractor | 215 Sw 3rd St, Ste B and C, Hermiston, OR 97838 | 2016-05-02 |
| 1801280896 | Sarah Harris | Counselor | 595 N.w. 11th Street, Hermiston, OR 97838 | 2015-03-27 |
| 1447677612 | Darren M Ernst | Nurse Anesthetist, Certified Registered | 610 Nw 11th St., Hermiston, OR 97838 | 2014-03-25 |
| 1558704460 | Torrie A Griggs | Specialist | 225 N 1st Street, Hermiston, OR 97838 | 2013-04-10 |
| 1356691869 | Carol Louise Johnson | Counselor | 331 Southeast 2nd Street, Pendleton, OR 97838 | 2012-09-12 |
| 1568717817 | Devin L Christensen | Massage Therapist | 1155 W. Linda Ave., Ste. B, Hermiston, OR 97838 | 2012-07-23 |
| 1275895310 | Lina Isabel Castillo | Pediatrics | 600 Nw11th Street, Suite E33, Hermiston, OR 97838 | 2012-06-14 |
| Find all providers in zip 97838 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922495035 | Patrick B Johansing | Family Medicine | 600 Nw 11th St Ste E15, Hermiston, OR 97838-8602 | 2015-04-16 |
| 1952307183 | Joseph R Gifford | Family Medicine | 1050 W Elm Ave, Ste 110, Hermiston, OR 97838-2713 | 2005-06-22 |
| 1588126320 | Jodee Lenae Williams | Family Medicine | 620 Nw 11th St Ste M103, Hermiston, OR 97838-6941 | 2019-04-02 |
| 1881041291 | Sandra Villalpando | Family Medicine | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-05-16 |
| 1225484900 | Kan Yang | Family Medicine | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2016-05-11 |
| 1396140968 | Stacy Brueckner | Family Medicine | 589 Nw 11th St, Hermiston, OR 97838-6600 | 2014-10-25 |
| 1700173218 | Jonas H Oltman | Family Medicine | 600 Nw 11th St, Suite E-15, Hermiston, OR 97838-8605 | 2011-07-05 |
| 1346561172 | Matthew Paul Carlson | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2010-06-16 |
| 1629307087 | Daniel Scott Buck | Family Medicine | 1050 W Elm Ave Ste 110, Hermiston, OR 97838-2713 | 2009-12-15 |
| 1649476219 | Roy Parker Rasmussen Jr. | Family Medicine | 1050 W Elm Ave, Suite 210, Hermiston, OR 97838-2700 | 2007-06-21 |
| Find all providers in HERMISTON | ||||
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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.