Brian M Bedolla (NPI# 1649205808, PAC ID# 4880644004) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1649205808 |
| PAC ID by PECOS | 4880644004 |
| Professional Enrollment ID | I20100814000260 |
| Full Name | Brian M Bedolla |
| Organization Legal Name | PREMERE REHAB LLC |
| Address |
155 S Evergreen Rd Country Meadows Woodburn OR 97071-2974 |
| Phone Number | 5039020592 |
| Gender | M |
| Credential | MD |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2567434764 |
| Number of Group Practice Members | 60 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380089 | LEGACY MERIDIAN PARK MEDICAL CENTER |
| 380029 | LEGACY SILVERTON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 5036922500 | LEGACY MERIDIAN PARK HOSPITAL |
| 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602 | 5039819526 | LEGACY MERIDIAN PARK HOSPITAL |
| 155 S Evergreen Rd, Country Meadows, Woodburn, OR 97071-2974 | 5039020592 | PREMERE REHAB LLC |
| Organization Legal Name | PREMERE REHAB LLC |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara Jean Cage | Physical Therapy | Premere Rehab LLC | 25 Sunshine Ct, Durango, CO 81301-6023 |
| Joshua Lane Yocum | Physical Therapy | Premere Rehab LLC | 2951 Coburg Rd, Eugene, OR 97408-5035 |
| Allison Sills Schwartz | Occupational Therapy | Premere Rehab LLC | 7600 Sandy Rock Pt, Colorado Springs, CO 80924-5222 |
| Keyna Michelle Carpenter | Physical Therapy | Premere Rehab LLC | 1200 Overlook Dr, The Stafford, Lake Oswego, OR 97034-6605 |
| Jill S Ritchie | Occupational Therapy | Premere Rehab LLC | 1282 Goodpasture Island Rd, Eugene, OR 97401-1755 |
| Kristen S Miller | Physical Therapy | Premere Rehab LLC | 625 27, Grand Junction, CO 81506-5101 |
| Megan Alexandra Zartman | Physical Therapy | Premere Rehab LLC | 7825 W Alameda Ave, Village At Belmar, Lakewood, CO 80226-7651 |
| Oi-ha Cecilia Voo | Occupational Therapy | Premere Rehab LLC | 7175 Kipling St, Arvada, CO 80004-1677 |
| Teresa Ann Lopez | Physical Therapy | Premere Rehab LLC | 3801 Summitview Ave, Yakima, WA 98902-2794 |
| Wendy Michelle Eickmann | Physical Therapy | Premere Rehab LLC | 1380 Charles Dr, Longmont, CO 80503-2354 |
| Street Address |
155 S EVERGREEN RD COUNTRY MEADOWS |
| City | WOODBURN |
| State | OR |
| Zip | 97071-2974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alfonso Espina Capuras | Nurse Practitioner | Premere Rehab LLC | 155 S Evergreen Rd, Country Meadows, Woodburn, OR 97071-2974 |
| Warren I Okuns | Family Medicine | Premere Rehab LLC | 155 S Evergreen Rd, Country Meadows, Woodburn, OR 97071-2974 |
| Curtis Mark Climer | Internal Medicine | Premere Rehab LLC | 155 S Evergreen Rd, Country Meadows, Woodburn, OR 97071-2974 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bonnie O Carlson | Occupational Therapy | Sanders Hand Therapy, Inc. | 2213 Country Club Rd, Woodburn, OR 97071-2811 |
| Virginia S Holman | Physical Therapy | Marquis Physical Therapy and Spine Rehab, PC | 2241 Country Club Rd, Woodburn, OR 97071-2811 |
| David E Marquis | Physical Therapy | Marquis Physical Therapy and Spine Rehab, PC | 2241 Country Club Rd, Woodburn, OR 97071-2811 |
| Lori S Reaney | Physical Therapy | Marquis Physical Therapy and Spine Rehab, PC | 2241 Country Club Rd, Woodburn, OR 97071-2811 |
| Rebecca Jackson L Wang | Physical Therapy | Marquis Physical Therapy and Spine Rehab, PC | 2241 Country Club Rd, Woodburn, OR 97071-2811 |
| Ladessa Christensen | Nurse Practitioner | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Alison B Carrigg | Pathology | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Kelli Patricia Farm | Nurse Practitioner | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Terry Clifton | Nurse Practitioner | Silver Falls Dermatology PC | 685 Evergreen Rd Ne, Woodburn, OR 97071-2910 |
| Lisa M Schlegel | Nurse Practitioner | Yakima Valley Farm Workers Clinic | 1175 Mount Hood Ave, Woodburn, OR 97071-9060 |
| Find all physicians in zip 97071 | |||
| City | WOODBURN |
| Zip Code | 97071 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | WOODBURN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Brian M Bedolla.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.