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

Jeremy Brodhead, NP

Individual provider Primary Care Nurse Practitioner · NPI 1801272513

Jeremy Brodhead, NP is a Nurse Practitioner in Bend, Oregon. Qualified in 2015, 11 years ago. Practices with Healing Roots Medicine LLC, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
11
Licensed in
OR
In the registry since
2015
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

339 SW Century Dr Ste 201
Bend, OR 97702-1338
Phone: (541) 316-5693
Fax: (541) 255-0947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 200843322RN (OR)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 201507653NP-PP (OR)

Record details

NPI number1801272513
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 4, 2015
Last updated in NPPESJuly 6, 2026
Certification dateJuly 6, 2026
Mailing address339 Sw Century Dr Ste 201, Bend, OR 97702-1338

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Healing Roots Medicine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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