DR. BRUCE LEEWIWATANAKUL DO
NPI 1821521279
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR
NPI Status: Active since April 04, 2017
Contact Information
3181 SW SAM JACKSON PARK RD.
OHSU
PORTLAND, OR
ZIP 97239
Phone: (503) 494-8211
- Individual
- Male
- Psychiatry & Neurology
- Child & Adolescent Psychiatry
- Accepts Insurance
- PECOS Enrolled
About BRUCE LEEWIWATANAKUL
This page provides the complete NPI Profile along with additional information for Bruce Leewiwatanakul, a provider established in Portland, Oregon with a medical specialization in Psychiatry & Neurology, focusing in child & adolescent psychiatry . The healthcare provider is registered in the NPI registry with number 1821521279 assigned on April 2017. The practitioner's primary taxonomy code is 2084P0804X with license number DO219810 (OR). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1821521279
- Provider Name
- DR. BRUCE LEEWIWATANAKUL DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3181 SW SAM JACKSON PARK RD. OHSU PORTLAND, OR 97239
- Location Phone
- (503) 494-8211
- Mailing Address
- 1400 SW 5TH AVE STE 500 PORTLAND, OR 97201
- Mailing Phone
- (866) 617-6855
- Mailing Fax
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-04-2017
- Last Update Date
- 11-10-2025
- Code Navigator
Location Map
Secondary Locations
- 3401 Civic Center Blvd Division of Post Peds Portal Fellowship in General & Child and Adolescent Psychiatry
Philadelphia, PA 19104
(215) 327-4438 - 1225 NE 2nd Ave
Portland, OR 97232
(503) 944-8000
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
Psychiatry & Neurology Child & Adolescent Psychiatry
- Taxonomy Code
- 2084P0804X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- DO219810
- License State
- OR
- Taxonomy Description
- Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
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 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | DO197940 (OR) |
| 2 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | OS021227 (PA) |
| 3 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | DO219810 (OR) |
| 4 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | OS021227 (PA) |
| 5 | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Bruce Leewiwatanakul is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for DR. BRUCE LEEWIWATANAKUL DO
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821521279, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 51 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
PORTLAND, OR 97239
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821521279, enumerated as an "individual" on April 04, 2017.
The provider is located at 3181 SW SAM JACKSON PARK RD. OHSU PORTLAND, OR 97239 and the phone number is (503) 494-8211.
Psychiatry & Neurology with taxonomy code 2084P0804X and a focus in Child & Adolescent Psychiatry.
The provider might be accepting Accepts: BridgeSpan Health Company and Regence BlueCross. Please consult your insurance carrier or call the provider to verify.
