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

John Rodgers Braddock, MD

Individual provider Emergency Medicine Physician · NPI 1225176324

John Rodgers Braddock, MD is an Emergency Medicine Physician in Lake Oswego, Oregon. Licensed in Oregon. Registered with an NPI since 2007.

Licensed in
OR
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

4000 Kruse Way Pl Bldg 2 Ste 160
Lake Oswego, OR 97035-5545
Phone: (503) 635-1960
Fax: (503) 635-8354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X · Licence MD09593 (OR)
Emergency Medicine Physician Taxonomy 207P00000X · Licence MD09593 (OR)

Record details

NPI number1225176324
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 1, 2007
Last updated in NPPESNovember 15, 2011
Mailing address4000 Kruse Way Pl, Building 2, Suite 160, Lake Oswego, OR 97035-5545

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