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BRUNE DERMATOLOGY, LLC
NPI 1093037210
Dermatology in Corvallis, OR

Active since February 16, 2010CLIA Certified · 2 labs
1740 NW 9TH ST, CORVALLIS, OR 97330(541) 230-1350(541) 207-3477 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 25, 2025, Dec 28, 2022, Mar 5, 2019 (3 updates tracked since 2019).

About Brune Dermatology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRUNE DERMATOLOGY, LLC (NPI 1093037210) is a healthcare organization registered as a dermatology in Corvallis, Oregon and active in the NPI registry since February 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Albany, and lists Caitlin M Coyle, Manager, as its authorized official.

NPPES Registry Identity

NPI1093037210
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameBRUNE DERMATOLOGY, LLC
Location Address1740 NW 9TH STCorvallis, OR 97330-2141
Mailing Address1740 Nw 9th StCorvallis, OR 97330-2141 · (541) 230-1350 · Fax (541) 207-3477
Phone(541) 230-1350
Fax(541) 207-3477
Organization SubpartNo
Authorized OfficialCaitlin M CoyleManager · (541) 230-1350
Enumeration DateFebruary 16, 2010
Last NPPES UpdateMarch 25, 20253 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1093037210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1740 NW 9TH ST, Corvallis, OR 97330
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Secondary Practice Location 1

Location 11200 Queen Ave SEAlbany, OR 97322-6661 · Phone (541) 230-1350 · Fax (541) 207-3477

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brune Dermatology, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Brune Dermatology, LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Adriana Brune, MD
Dermatology
NPI 1699743062
2773 NW 9TH STREET BRUNE DERMATOLOGY, LLC
Corvallis, OR 97330
(541) 230-1350
✔ PECOS✔ Accepts Medicare0.9 mi
Carrick Burns
Dermatology
NPI 1578791901
2430 NW PROFESSIONAL DR
Corvallis, OR 97330
(415) 452-0180
✔ PECOS✔ Accepts Medicare1.0 mi
Patricia Ohare, M.D.
Dermatology
NPI 1821030693
1200 QUEEN AVE SE
Albany, OR 97322
(541) 936-3025
✔ PECOS✔ Accepts Medicare9.0 mi
Kevin Wright, M.D.
Dermatology
NPI 1164700738
6605 NANCY RIDGE DR
San Diego, CA 92121
(858) 900-2766
✔ PECOS✔ Accepts Medicare871 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2012852

Brune Dermatology · Corvallis, OR
Active · expires Sep 8, 2028
CLIA Number38D2012852
Laboratory TypePhysician Office
Certificate Effective DateSeptember 9, 2026
Certificate Expiration DateSeptember 8, 2028
Laboratory DirectorAdriana M. Brune
Laboratory Phone(541) 230-1350
Laboratory LocationBrune Dermatology1740 NW 9th St, Corvallis, OR 97330
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D2092974

Brune Dermatology · Albany, OR
Active · expires Nov 14, 2027
CLIA Number38D2092974
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorPatricia Ohare
Laboratory Phone(541) 230-1350
Laboratory LocationBrune Dermatology1200 Queen Ave SE, Albany, OR 97322
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brune Dermatology, LLC's NPI number?

The NPI number for Brune Dermatology, LLC is 1093037210. It was assigned to this organization in the NPPES registry on February 16, 2010.

Where is Brune Dermatology, LLC located?

Brune Dermatology, LLC is located at 1740 NW 9th St, Corvallis, OR 97330. The listed phone number is (541) 230-1350.

What is Brune Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Brune Dermatology, LLC enrolled in Medicare?

Yes. Brune Dermatology, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Brune Dermatology, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Dermatology, reassign their Medicare billing to Brune Dermatology, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Brune Dermatology, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Brune Dermatology, LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Brune Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brune Dermatology, LLC was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.