MEDICARE: BRUCE RAMSEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD21327	OR

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00216547	OTHER	OR	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	858463005	OTHER	OR	BCBS-MEDFORD
2	838334007	OTHER	OR	BCBS-ROSEBURG
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	838360009	OTHER	OR	BCBS-MCMINNVILLE
5	844477015	OTHER	OR	BCBS-GRANTS PASS
7	858464005	OTHER	OR	BCBS-SPRINGFIELD

General Provider Information

NPI Number	:	1275594616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRUCE RAMSEY MD

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3600 NW SAMARITAN DR
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97330-3737
Country	:	US
Telephone Number	:	541-768-5111
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	05/14/2021

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Directions to “ BRUCE RAMSEY MD” Practice Location

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