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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

HEALING ROOTS MEDICINE LLC
NPI 1477051795
Clinic/Center - Primary Care in Bend, OR

Active since February 01, 2018
339 SW CENTURY DR STE 201, BEND, OR 97702(541) 316-5693 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2026, Jan 8, 2026, Feb 4, 2025 and 1 more (4 updates tracked since 2018).

About Healing Roots Medicine Llc NPPES

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

HEALING ROOTS MEDICINE LLC (NPI 1477051795), doing business as Hearthside Medicine Family Care, is a healthcare organization registered as a primary care in Bend, Oregon and active in the NPI registry since February 2018. The organization lists Havilah Noel Brodhead, Owner, as its authorized official.

NPPES Registry Identity

NPI1477051795
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHEALING ROOTS MEDICINE LLC
Location Address339 SW CENTURY DR STE 201Bend, OR 97702-1338
Mailing Address339 Sw Century Dr Ste 201Bend, OR 97702-1338 · (541) 316-5693 · Fax (541) 255-0947
Phone(541) 316-5693
Organization SubpartNo
Authorized OfficialHavilah Noel BrodheadOwner · (541) 316-5693
Enumeration DateFebruary 1, 2018
Last NPPES UpdateJuly 6, 20264 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1477051795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in OR · 201407546NP-PP
339 SW CENTURY DR STE 201, Bend, OR 97702
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Other Names 2

Doing Business AsHearthside Medicine Family Care
Other NameHealing Roots Medicine

Other Identifiers 1

Medicaid500752671OR

Accepted Insurance

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

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.

EILEEN JEWELL FAGAN MS, NCC
Counselor (Professional)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 508-9354
TRANSFORMATION COUNSELING
Counselor (Professional)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 508-9354
JEREMY BRODHEAD N.P.
Nurse Practitioner
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 316-5693
MRS. HAVILAH NOEL BRODHEAD R.N., MSN, FNP-BC
Nurse Practitioner (Primary Care)
339 SW CENTURY DR STE 201
BEND, OR 97702
Deschutes County (541) 316-5693

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 Healing Roots Medicine LLC's NPI number?

The NPI number for Healing Roots Medicine LLC is 1477051795. It was assigned to this organization in the NPPES registry on February 1, 2018. The provider is doing business as Hearthside Medicine Family Care. The provider is also known as Healing Roots Medicine.

Where is Healing Roots Medicine LLC located?

Healing Roots Medicine LLC is located at 339 SW Century Dr Ste 201, Bend, OR 97702. The listed phone number is (541) 316-5693.

What is Healing Roots Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Healing Roots Medicine LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and Regence BlueCross BlueShield of Oregon list Healing Roots Medicine 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 Healing Roots Medicine LLC was last updated on July 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.