Look up the most recent NPI and PECOS records

Bradley Thomas Newhart

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011

PECOS Enrollment

This provider is enrolled in PECOS as BRADLEY NEWHART.

Based on the most recent information from CMS, provider Bradley Thomas Newhart is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1801165337
Provider Type
Individual
Full Name
Newhart, Bradley Thomas
Title
Mr.
Credential
PA-C

Gender
Male
Sole Proprietor
No
Enumeration Date
12/29/2011
Last Updated
1/28/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011

(503) 494-7641

(503) 494-8368

Mailing Location

3181 SW Sam Jackson Park Rd., Mail Code Sjh-2, Portland, OR 97239-3011

(503) 494-4910

(503) 494-8368

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA176419 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA176419 Oregon

Bradley Thomas Newhart

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Barwood, Gwen Lynn

Early, Jocelyn M

Tartaglia, Ryan T

Myers, Robert A

Gorski, Kirsten

Good, Paulina

Tobin, Jennifer

Brooks, Lindsay

Barclift, Hannah

Ying, Monique M