Active NPIIndividual providerSole proprietor

Mrs. Havilah N Brodhead, RN, MSN, FNP-BC

Nurse Practitioner, Primary Care in Bend, Oregon

NPI Number1841584844
Practice location
339 SW Century Dr Ste 201, Bend, OR 97702-1338
Fax
541-255-0947
Last updated
July 6, 2026

Havilah Noel Brodhead is a Nurse Practitioner, Primary Care based in Bend, OR. Havilah Noel Brodhead practices in Bend, OR and has the professional credentials of RN, MSN, FNP-BC. The NPI Number for Havilah Noel Brodhead is 1841584844 and holds a License No. 201407546NP-PP (OR). The current practice location address for Havilah Noel 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
1841584844
Provider Name
Havilah Noel Brodhead
Credential
RN, MSN, FNP-BC
Provider Entity Type
Individual
Gender
Female
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, Primary Care · 363LP2300X
Sole Proprietor
Yes
Other Names
Mrs. Havilah Liederbach (Former Name)
Provider Enumeration Date
June 7, 2011
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
Bend, OR 97702Get directions →

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
541-315-5693
Fax Number
541-255-0947

License Information

License Number
201407546NP-PP
License State
OR
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Mrs. Havilah N Brodhead, RN, MSN, FNP-BC?

The NPI number of Mrs. Havilah N Brodhead, RN, MSN, FNP-BC is 1841584844. It was assigned on June 7, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Havilah N Brodhead, RN, MSN, FNP-BC?

Mrs. Havilah N Brodhead, RN, MSN, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in OR under license number 201407546NP-PP.

Where does Mrs. Havilah N Brodhead, RN, MSN, FNP-BC 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 1841584844 directly on the NPPES registry website.

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