BRUCE D. CARLSON M.D.
NPI 1508921016
Clinic/Center - Health Service in Hermiston, OR
- Organization
- Clinic/Center
- Health Service
- Accepts Insurance
About BRUCE D. CARLSON M.D.
This page provides the complete NPI Profile along with additional information for Bruce D. Carlson M.d., a provider established in Hermiston, Oregon operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1508921016 assigned on December 2006. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's former legal business name is Hermiston Family Medicine And Urgent Care. The authorized official of this NPI record is Tami J Foster (Office Manager)
- NPI
- 1508921016 Verify this NPI
- Provider Legal Name
- BRUCE D. CARLSON M.D.
- Other Organization Name
- HERMISTON FAMILY MEDICINE AND URGENT CARE
- Other Name Type
- Former Legal Business Name (4)
- Entity Type
- Organization
- Location Address
- 236 E NEWPORT AVE HERMISTON, OR 97838
- Location Phone
- (541) 567-1137
- Location Fax
- (541) 567-2336
- Mailing Address
- 236 E NEWPORT AVE HERMISTON, OR 97838
- Mailing Phone
- (541) 567-1137
- Mailing Fax
- (541) 567-2336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-26-2006
- Last Update Date
- 04-19-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR1300X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 080385000 | OTHER (01) | OR | BLUE CROSS BLUE SHIELD |
| OR1807 | OTHER (01) | OR | HEALTH NET OF OREGON |
| 223149 | MEDICAID (05) | OR |
Reviews for BRUCE D. CARLSON M.D.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508921016, enumerated as an "organization" on December 26, 2006.
The provider is located at 236 E NEWPORT AVE HERMISTON, OR 97838 and the phone number is (541) 567-1137.
Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.
The provider might be accepting Accepts: Providence Health Plan, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
