COASTAL CARDIOLOGY LLC
NPI 1609882216
Internal Medicine - Cardiovascular Disease in Brookings, OR

Active since August 01, 2006
412 ALDER ST, BROOKINGS, OR 97415(541) 412-7799 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Cardiology Llc NPPES

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

COASTAL CARDIOLOGY LLC (NPI 1609882216) is a healthcare organization registered as a cardiovascular disease in Brookings, Oregon and active in the NPI registry since August 2006. The organization lists Richard Bodager, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609882216
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCOASTAL CARDIOLOGY LLC
Location Address412 ALDER STBrookings, OR 97415-9014
Mailing Address412 Alder StBrookings, OR 97415-9014 · (541) 412-7799
Organization SubpartNo
Authorized OfficialRichard BodagerCeo · (541) 789-5600
Enumeration DateAugust 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1609882216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in OR · 2498
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
412 ALDER ST, Brookings, OR 97415

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

Family Medicine
412 ALDER ST
BROOKINGS, OR 97415
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Counselor (Mental Health)
412 ALDER ST
BROOKINGS, OR 97415
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Massage Therapist
412 ALDER ST
BROOKINGS, OR 97415
Counselor (Mental Health)
412 ALDER ST
BROOKINGS, OR 97415

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 Coastal Cardiology LLC's NPI number?

The NPI number for Coastal Cardiology LLC is 1609882216. It was assigned to this organization in the NPPES registry on August 1, 2006.

Where is Coastal Cardiology LLC located?

Coastal Cardiology LLC is located at 412 Alder St, Brookings, OR 97415. The listed phone number is (541) 412-7799.

What is Coastal Cardiology LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Coastal Cardiology LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.