- Practice location
- 339 SW Century Dr Ste 201, Bend, OR 97702-1338
- Phone
- 541-316-5693
- Fax
- 541-255-0947
- Last updated
- July 6, 2026
Jeremy Brodhead is a Nurse Practitioner based in Bend, OR. Jeremy Brodhead practices in Bend, OR and has the professional credentials of NP. The NPI Number for Jeremy Brodhead is 1801272513 and holds a License No. 201507653NP-PP (OR). The current practice location address for Jeremy Brodhead is 339 SW Century Dr Ste 201, Bend, OR 97702-1338 and can be reached out via phone at 541-316-5693 and via fax at 541-255-0947.
Provider Profile Details
- NPI Number
- 1801272513
- Provider Name
- Jeremy Brodhead
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 339 SW Century Dr Ste 201, Bend, OR 97702-1338
- Phone Number
- 541-316-5693
- Fax Number
- 541-255-0947
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2015
- Last Update Date
- July 6, 2026
- Certification Date
- July 6, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 339 SW Century Dr Ste 201
Bend, OR 97702-1338 - City
- Bend
- State
- Oregon
- Zip
- 97702-1338
- Phone Number
- 541-316-5693
- Fax Number
- 541-255-0947
Provider Business Mailing Address Details
- Address
- 339 SW Century Dr Ste 201
Bend, OR 97702-1338 - City
- Bend
- State
- OR
- Zip
- 97702-1338
- Phone Number
- 541-316-5693
- Fax Number
- 541-255-0947
License Information
- License Number (1)
- 201507653NP-PP
- License State (1)
- OR
- Taxonomy (1)
- Nurse Practitioner, Primary Care · 363LP2300X
- License Number (2)
- 200843322RN
- License State (2)
- OR
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jeremy Brodhead, NP?
The NPI number of Jeremy Brodhead, NP is 1801272513. It was assigned on August 4, 2015 and is currently active in the NPPES registry.
What is the specialty of Jeremy Brodhead, NP?
Jeremy Brodhead, NP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in OR under license number 201507653NP-PP.
Where does Jeremy Brodhead, NP practice?
The practice location is 339 SW Century Dr Ste 201, Bend, OR 97702-1338. The office can be reached at 541-316-5693 (phone) or 541-255-0947 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1801272513 directly on the NPPES registry website.