Bringardner, Patrick Timothy

Bringardner, Patrick Timothy is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-2045. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bringardner, Patrick Timothy can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-2045
Phone: (541) 267-5151
Fax: (541) 266-4588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201606922NP-PP Oregon

Profile Details

NPI number 1154877025
LBN Legal business name Bringardner, Patrick Timothy
Credentials FNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2016
Last updated Oct 31st, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154877025 NPPES
Oregon Other 161133 NORTH BEND MEDICAL CENTER GROUP MEDICAID
Oregon Other R0000WFBTV NORTH BEND MEDICAL CENTER GROUP MEDICAID
Oregon Other 1407812365 NORTH BEND MEDICAL CENTER GROUP MEDICAID
Oregon Other 93-0635514 NORTH BEND MEDICAL CENTER GROUP MEDICAID
Oregon MEDICAID 500713885 NORTH BEND MEDICAL CENTER GROUP MEDICAID
Oregon Other P01716857 NORTH BEND MEDICAL CENTER GROUP MEDICAID

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