DR. BRENNA KATHRYN LEWIS (NPI# 1033475546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033475546 |
| Entity Type | Individual |
| Full Name | DR. BRENNA KATHRYN LEWIS |
| Credential | MD |
| Practice Address |
2084 Ne Professional Ct Bend OR 97701 |
| Mailing Address |
600 Sw Columbia St Ste 6210 Bend OR 97702-1099 |
| Practice Telephone | 5413833005 |
| Practice Fax Number | 5413831883 |
| Mailing Telephone | 5413833005 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-05-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD171914 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 500655062 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151076 | Brenna Kuupilialoha Lewis | Social Worker | 2848 Park St, Honolulu, HI 96817-1157 | 2020-07-19 |
| 1992265144 | Brenna Joanne Lewis | Behavior Technician | 300 W Swanson Ave, Wasilla, AK 99654-6844 | 2019-03-22 |
| Street Address |
2084 NE PROFESSIONAL CT |
| City | BEND |
| State | OR |
| Zip Code | 97701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902881592 | Joeth D. Ryan | Physician Assistant | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2005-12-07 |
| 1801445473 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2019-09-06 |
| 1821591199 | Lauren Kaimana Oakley | Dental Hygienist | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-03-13 |
| 1528560091 | Mosaic Medical | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-03-01 |
| 1659888279 | Mosaic Medical Dental | Clinic/Center | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2018-01-04 |
| 1407309115 | Megan L. Barrett | Registered Nurse | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2016-07-28 |
| 1811314040 | William Featherston Gilmore IIi | Pediatrics | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2014-03-26 |
| 1790109189 | Lindsey Renae Overstreet | Social Worker | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2014-02-06 |
| 1972938942 | Kerry Adele Gillette | Physician Assistant | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2013-09-10 |
| 1851732085 | Joshua Reiher | Family Medicine | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104465525 | Andrew Kyle Burzynski | Denturist | 853 Ne 4th St., Bend, OR 97701 | 2020-01-02 |
| 1013480714 | Andrew Traut | Specialist/Technologist | Oregon State Force Lab, 2200 Ne Neff Rd Suite 202, Bend, OR 97701 | 2019-01-04 |
| 1871063917 | Calley Asbill, Nd LLC | Chiropractor | 2146 Ne 4th Street, Suite 160, Bend, OR 97701 | 2018-12-02 |
| 1902372212 | Carisa S Battin | Counselor | 361 Ne Franklin Avenue Bldg E #4, Bend, OR 97701 | 2018-10-15 |
| 1366921223 | Hillside Eye Center LLC | Ophthalmology | 625 Nw Colorado Avenue, Bend, OR 97701 | 2018-08-11 |
| 1528545514 | Kellie Michiko Kawasaki-jones | Dentist | 62968 Ob Riley Road, Suite 12, Bend, OR 97701 | 2018-07-23 |
| 1992255327 | Shelby Chiropractic | Chiropractor | 561 Ne Bellevue Dr Ste 102, Bend, OR 97701 | 2016-10-10 |
| 1144671520 | Kevin Richard Pett | Acupuncturist | 39 Nw Louisanna Ave., Hawthorn Healing Arts Center, Bend, OR 97701 | 2016-06-27 |
| 1912357500 | Sheldon Shawn Doveri | Driver | 233 Nw Revere Ave, Bend, OR 97701 | 2016-06-15 |
| 1740647411 | Anne Power | Homeopath | 2100 Ne Neff Rd Suite B, Bend, OR 97701 | 2016-01-26 |
| Find all providers in zip 97701 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962911347 | Bend Kids Pediatrics, LLC | Pediatrics | 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 | 2017-09-28 |
| 1326075516 | Dana D. Perryman | Pediatrics | 2200 Ne Professional Ct., Bend, OR 97701 | 2006-06-26 |
| 1992793988 | Jennifer G. Lachman | Pediatrics | 2200 Ne Professional Ct, Bend, OR 97701-6063 | 2005-10-12 |
| 1104289073 | Heather Gardiner | Pediatrics | 2500 Ne Neff Rd, Bend, OR 97701-6015 | 2016-03-30 |
| 1629442298 | Erika Beard Irvine Md LLC | Pediatrics | 325 Nw Vermont St, Suite 105, Bend, OR 97703-1916 | 2015-11-19 |
| 1942695028 | Dana Elizabeth Honzel Angelos | Pediatrics | 2200 Ne Professional Ct, Bend, OR 97701-6063 | 2015-04-05 |
| 1811314040 | William Featherston Gilmore IIi | Pediatrics | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2014-03-26 |
| 1982048211 | Abby P. Hendricks | Pediatrics | 2084 Ne Professional Ct, Bend, OR 97701-6077 | 2013-04-17 |
| 1295050680 | Leslie Austin Rust | Pediatrics | 2200 Ne Professional Ct, Bend, OR 97701 | 2010-03-29 |
| 1245561273 | Carissa Leigh Honeycutt | Pediatrics | 2200 Ne Professional Ct., Bend, OR 97701 | 2010-01-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.