Individual provider · Type 1 NPI

Jeremy Brodhead, N.P.

Nurse Practitioner · Bend, OR

NPI number 1801272513 Active

Practice location

339 SW Century Dr Ste 201
Bend, OR 97702-1338

Fax (541) 255-0947

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300X201507653NP-PP (OR)
Nurse Practitioner Primary 363L00000X200843322RN (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1801272513

Jeremy Brodhead, N.P.'s National Provider Identifier is 1801272513, issued on Aug 4, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bend, OR. The record was last updated on Jul 6, 2026.