BRENT DEMANBY PA-C
NPI 1417547555
Physician Assistant - Surgical in Portland, OR
About Brent Demanby Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRENT DEMANBY PA-C (NPI 1417547555) is an individual surgical provider in Portland, Oregon, licensed in Oregon (PA213402) and active in the NPI registry since January 2021. He is enrolled in Medicare PECOS, is affiliated with Ohsu Hospital And Clinics, and is a graduate of Rush Medical College Of Rush University (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Brent Demanby Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ohsu Hospital And Clinics
Acute Care Hospitals · Portland, ORMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
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 Brent Demanby's NPI number?
The NPI number for Brent Demanby is 1417547555. It was assigned to this individual provider in the NPPES registry on January 22, 2021.
Where is Brent Demanby located?
Brent Demanby practices at 3181 SW Sam Jackson Park Rd, Portland, OR 97239. The listed phone number is (503) 494-7820.
What is Brent Demanby's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Brent Demanby enrolled in Medicare?
Yes. Brent Demanby is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Brent Demanby affiliated with any hospitals?
According to CMS data, Brent Demanby is affiliated with Ohsu Hospital And Clinics.
When was this NPI record last updated?
The NPPES record for Brent Demanby was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Brent Demanby, PA-C · NPI 1417547555
Surgical physician in Portland, Oregon. Individual provider, active in the CMS NPPES registry since January 22, 2021.
## Identity
- **NPI:** 1417547555 (Entity type: Individual)
- **Enumerated:** January 22, 2021
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** PA213402 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 3181 SW SAM JACKSON PARK RD, Portland, OR 97239-3011
- **Phone:** (503) 494-7820
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Rush Medical College Of Rush University, class of 2020
## Record status
- **NPPES last updated:** July 15, 2025
- **Other identifiers:** Other 1180085 (IL); Other 156310 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1417547555) · Data from the CMS NPPES public registry.