Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brennan Ullom, APRN, FNP-C

Individual provider Registered Nurse · NPI 1851104400

Brennan Ullom, APRN, FNP-C is a Nurse Practitioner in Medford, Oregon. Qualified in 2024, 2 years ago. Practices with Complete Integrative Care, LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

3156 State St
Medford, OR 97504-8450
Phone: (541) 773-9772
Fax: (541) 773-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10038862 (OR)
Registered Nurse Taxonomy 163W00000X · Licence 201905568RN (OR)

Record details

NPI number1851104400
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2025
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Complete Integrative Care, Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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