HEALING ROOTS MEDICINE LLC
NPI 1477051795
Clinic/Center - Primary Care in Bend, OR
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
Specialties & Licenses
Other Names 2
Other Identifiers 1
Accepted 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)
Healing Roots Medicine Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Healing Roots Medicine LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Healing Roots Medicine LLC enrolled in Medicare?
Yes. Healing Roots Medicine LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Healing Roots Medicine LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Healing Roots Medicine 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, 2 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Healing Roots Medicine Llc · NPI 1477051795
Primary Care organization in Bend, Oregon. Organization record, active in the CMS NPPES registry since February 1, 2018.
## Identity
- **NPI:** 1477051795 (Entity type: Organization)
- **Enumerated:** February 1, 2018
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Hearthside Medicine Family Care (Doing Business As); Healing Roots Medicine (Other Name)
- **Organization subpart:** No
- **Authorized official:** Havilah Brodhead, OWNER
## Practice location
- **Address:** 339 SW CENTURY DR STE 201, Bend, OR 97702-1338
- **Phone:** (541) 316-5693
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 6, 2026
- **Other identifiers:** Medicaid 500752671 (OR)
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Source: [NPI Profile](https://npiprofile.com/npi/1477051795) · Data from the CMS NPPES public registry.