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MR. THOMAS WILLIAM BRUNDAGE IV REV., CSW
NPI 1134313620
Counselor - Mental Health in Eugene, OR

Active since August 28, 2007
2411 MLK BLVD, EUGENE, OR 97401(541) 682-3608 Get Directions Write a Review

NPPES record last updated: August 28, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas William Brundage Iv Rev., Csw NPPES

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

MR. THOMAS WILLIAM BRUNDAGE IV REV., CSW (NPI 1134313620) is an individual mental health provider in Eugene, Oregon and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1134313620
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. THOMAS WILLIAM BRUNDAGE IVCredential: REV., CSW
Location Address2411 MLK BLVDEugene, OR 97401-5824
Mailing Address2411 Mlk BlvdEugene, OR 97401-5824 · (541) 682-3608
Phone(541) 682-3608
Sole ProprietorNo
Enumeration DateAugust 28, 2007
✔ NPI 1134313620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2411 MLK BLVD, Eugene, OR 97401
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENDA KAY BENTLEY PWS, PSS
Peer Specialist
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3550
CLAIRE MCCONAHAY
Student in an Organized Health Care Education/Training Program
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
BRENNA K. WINN
Counselor (Mental Health)
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 682-3608
CA DJURKOVIC QMHA-R, PSS,
Peer Specialist
2411 MLK BLVD
EUGENE, OR 97401
Lane County (541) 342-8255

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 Thomas Brundage Iv's NPI number?

The NPI number for Thomas Brundage Iv is 1134313620. It was assigned to this individual provider in the NPPES registry on August 28, 2007.

Where is Thomas Brundage Iv located?

Thomas Brundage Iv practices at 2411 Mlk Blvd, Eugene, OR 97401. The listed phone number is (541) 682-3608.

What is Thomas Brundage Iv's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Thomas Brundage Iv was last updated on August 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.