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

Dr. Brian J Sullivan, MD

Individual provider Family Medicine Physician · NPI 1306088943

Dr. Brian J Sullivan, MD is a Family Practice in Redmond, Oregon. Graduated from University of Massachusetts Medical School in 2009, 17 years ago. Practices with Mosaic Community Health, a 79-clinician group and accepts Medicare assignment. Licensed in Massachusetts and Oregon.

Years since qualifying
17
Trained at
University of Massachusetts Medical School
Licensed in
MA, OR
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1250 SW Veterans Way Ste 120
Redmond, OR 97756
Phone: (541) 923-4462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD186677 (OR)
Family Medicine Physician Taxonomy 207Q00000X · Licence 257372 (MA)

Record details

NPI number1306088943
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 27, 2009
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address600 Sw Columbia St Ste 6210, Bend, OR 97702-1099

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Graduated 2009 (17 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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