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

Jake Brandt, PA

Individual provider Physician Assistant · NPI 1083211734

Jake Brandt, PA is a Physician Assistant in Bend, Oregon. Qualified in 2021, 5 years ago. Practices with St Charles Health System Inc, a 383-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
5
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 388-4333
Fax: (541) 388-3446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1501 Ne Medical Center Dr, Bend, OR 97701-6051 — (541) 382-4900

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA207373 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1083211734
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 6, 2020
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice St Charles Health System Inc — 383 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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