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BRADLEY J FANCHER MD
NPI 1184733859
Internal Medicine in Portland, OR

Active since August 29, 2006Opted out of Medicare · through Oct 1, 2026
10200 SW EASTRIDGE ST, SUITE 205, PORTLAND, OR 97225(503) 280-4555(503) 280-4559 Get Directions Write a Review

NPPES record last updated: October 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bradley J Fancher Md NPPES

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

BRADLEY J FANCHER MD (NPI 1184733859) is an individual internal medicine provider in Portland, Oregon, licensed in Oregon (MD12802) and active in the NPI registry since August 2006. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1184733859
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRADLEY J FANCHERCredential: MD
Location Address10200 SW EASTRIDGE ST, SUITE 205Portland, OR 97225-5064
Mailing Address10200 Sw Eastridge St, Suite 205Portland, OR 97225-5032 · (503) 280-4555 · Fax (503) 280-4559
Phone(503) 280-4555
Fax(503) 280-4559
Sole ProprietorNo
Enumeration DateAugust 29, 2006
Last NPPES UpdateOctober 13, 2014
✔ NPI 1184733859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OR · MD12802
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10200 SW EASTRIDGE ST, Portland, OR 97225
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Other Identifiers 2

Medicare PINR108058OR
Medicare UPINC94175OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Bradley J Fancher Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2012 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2012
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$103.51 typical visit price
range $19.32 – $144.79
Typical copayment $25.87 (range $4.83 – $36.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

MADHAVI MURTHY MD
Internal Medicine
10200 SW EASTRIDGE ST, SUITE 205
PORTLAND, OR 97225
Washington County (503) 280-4555
CEDAR CREEK INTERNAL MEDICINE,PC
Internal Medicine
10200 SW EASTRIDGE ST, STE 205
PORTLAND, OR 97225
Washington County (503) 280-4555
DUC HOAI NGUYEN DO
Internal Medicine
10200 SW EASTRIDGE ST, SUITE 205
PORTLAND, OR 97225
Washington County (503) 280-4555
HELEN JOANNE QUIRK PT
Physical Therapist
10200 SW EASTRIDGE ST, SUITE 115
PORTLAND, OR 97225
Washington County (503) 517-2021
DR. FAWN TRAN MD
Family Medicine
10200 SW EASTRIDGE ST, SUITE 205
PORTLAND, OR 97225
Washington County (503) 280-4555
THEODORE J KLEIKAMP MD
Internal Medicine
10200 SW EASTRIDGE ST, SUITE 205
PORTLAND, OR 97225
Washington County (503) 280-4555
MICHAEL S MEGA MD, PHD
Psychiatry & Neurology (Neurology)
10200 SW EASTRIDGE ST, STE 105
PORTLAND, OR 97225
Washington County (503) 207-2066
DR. CAROLYN NOBUKO CHAPMAN M.D.
Family Medicine (Adult Medicine)
10200 SW EASTRIDGE ST, SUITE 205
PORTLAND, OR 97225
Washington County (503) 280-4555

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 Bradley Fancher's NPI number?

The NPI number for Bradley Fancher is 1184733859. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Bradley Fancher located?

Bradley Fancher practices at 10200 SW Eastridge St Suite 205, Portland, OR 97225. The listed phone number is (503) 280-4555.

What is Bradley Fancher's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bradley Fancher enrolled in Medicare?

No. Bradley Fancher has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Bradley Fancher accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Bradley Fancher 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 Bradley Fancher was last updated on October 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.