Ryan A Brevard, MD - Medicare Emergency Medicine in Gresham, OR

Ryan A Brevard, MD is a medicare enrolled "Emergency Medicine" physician in Gresham, Oregon. His current practice location is 24800 Se Stark St, Gresham, Oregon. You can reach out to his office (for appointments etc.) via phone at (503) 647-1400.

Ryan A Brevard is licensed to practice in Oregon (license number MD24321) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366468688.

Contact Information

Ryan A Brevard, MD
24800 Se Stark St,
Gresham, OR 97030-3378
(503) 647-1400
Not Available



Physician's Profile

Full NameRyan A Brevard
GenderMale
SpecialityEmergency Medicine
Location24800 Se Stark St, Gresham, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1366468688
  • Provider Enumeration Date: 07/14/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4587640495
  • Enrollment ID: I20040629001247

Medical Identifiers

Medical identifiers for Ryan A Brevard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1366468688NPI-NPPES
227376MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD24321 (Oregon)Primary
207P00000XEmergency Medicine MD44940 (Washington)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ryan A Brevard is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ryan A Brevard, MD
6312 Sw Capitol Hwy # 502,
Portland, OR 97239-1938

Ph: (503) 464-9034
Ryan A Brevard, MD
24800 Se Stark St,
Gresham, OR 97030-3378

Ph: (503) 647-1400

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Emergency Medicine Doctors in Gresham, OR

Karen Jeanne O'neill, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1400    
Dr. Kelly Leaf, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Emergency Department, Gresham, OR 97030
Phone: 503-674-1122    
Nigel M Longland, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1400    
Fredrick R Bradshaw, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1400    
Daniel R Berger,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1122    
Crystal Weis, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 24800 Se Stark St, Gresham, OR 97030
Phone: 503-674-1122    
Anthony A Ferroggiaro, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2850 Se Powell Valley Rd, Gresham, OR 97080
Phone: 503-666-5050    

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