Brodhead, Jeremy

Brodhead, Jeremy is an individual health care provider with primary practice located at 339 Sw Century Dr Ste 201 , Bend OR 97702-1338. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Brodhead, Jeremy can be contacted via phone (541) 316-5693.

Contact Information

Primary practice address
339 Sw Century Dr Ste 201 Bend OR 97702-1338
Phone: (541) 316-5693
Fax: (541) 255-0947
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 201507653NP-PP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200843322RN Oregon

Profile Details

NPI number 1801272513
LBN Legal business name Brodhead, Jeremy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2015
Last updated Jul 6th, 2026 - about 3 months 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.

Request for update

Popular Providers