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

Brooke Kathryn Gantman

Individual provider Hospitalist Physician · NPI 1093410268

Brooke Kathryn Gantman is a Hospitalist in Portland, Oregon. Graduated from University of Nevada School of Medicine in 2023, 3 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
3
Trained at
University of Nevada School of Medicine
Licensed in
OR
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-1164
Fax: (503) 494-5502
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD223476 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD223476 (OR)

Record details

NPI number1093410268
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 5, 2023
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyHOSPITALIST
Medical schoolUNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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