Healthcare Provider Details

I. General information

NPI: 1811968019
Provider Name (Legal Business Name): BRETT D SINGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2006
Last Update Date: 03/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 NE NEFF RD
BEND OR
97701-6015
US

IV. Provider business mailing address

19716 SUNSHINE WAY
BEND OR
97702-1984
US

V. Phone/Fax

Practice location:
  • Phone: 541-388-9826
  • Fax: 541-677-4533
Mailing address:
  • Phone: 541-388-9826
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD18567
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: