AMYBRUNERMD LLC
NPI 1780141804
Obstetrics & Gynecology - Gynecology in Beaverton, OR

Active since February 25, 2019
1975 NW 167TH PL STE 100, BEAVERTON, OR 97006(971) 347-3192(503) 662-6541 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 5, 2020, Feb 25, 2019 (2 updates tracked since 2019).

About Amybrunermd Llc NPPES

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

AMYBRUNERMD LLC (NPI 1780141804) is a healthcare organization registered as a gynecology in Beaverton, Oregon and active in the NPI registry since February 2019. The organization lists Amy R Bruner, Owner, as its authorized official.

NPPES Registry Identity

NPI1780141804
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameAMYBRUNERMD LLC
Location Address1975 NW 167TH PL STE 100Beaverton, OR 97006-4908
Mailing Address1975 Nw 167th Pl Ste 100Beaverton, OR 97006-4908 · (971) 347-3192 · Fax (503) 662-6541
Fax(503) 662-6541
Organization SubpartNo
Authorized OfficialAmy R BrunerOwner · (503) 804-3861
Enumeration DateFebruary 25, 2019
Last NPPES UpdateFebruary 12, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
NPI 1780141804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1975 NW 167TH PL STE 100, Beaverton, OR 97006

Other Identifiers 1

Medicaid1194757708OR

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 11

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

Obstetrics & Gynecology (Gynecology)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Counselor (Mental Health)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Counselor (Mental Health)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Counselor (Mental Health)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Counselor (Mental Health)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Counselor (Mental Health)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Clinic/Center (Health Service)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006
Clinic/Center (Physical Therapy)
1975 NW 167TH PL STE 100
BEAVERTON, OR 97006

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 Amybrunermd LLC's NPI number?

The NPI number for Amybrunermd LLC is 1780141804. It was assigned to this organization in the NPPES registry on February 25, 2019.

Where is Amybrunermd LLC located?

Amybrunermd LLC is located at 1975 NW 167th Pl Ste 100, Beaverton, OR 97006. The listed phone number is (971) 347-3192.

What is Amybrunermd LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

When was this NPI record last updated?

The NPPES record for Amybrunermd LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.