Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BRENT HEIMULLER, M.D.
ActivePediatrics · MCMINNVILLE, OR
Registration Details
- NPI Number
- 1053364562
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 18, 2006 (19.992965971029 yrs)
- Last Updated
- Jan 9, 2013
- License
-
MD18814 (OR)
Practice Information
- Address
-
2435 NE CUMULUS AVE STE AMCMINNVILLE, OR, 971288862Browse OR providers · Browse ZIP 97128
- Phone
- 5034726161
- Fax
- 5034346290
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in MCMINNVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARCELLA M ANDERSON | M.D. | 1710982459 |
| WILLIAM J. KOENIG | D.O. | 1770588337 |
| DR. MARGARET J MILLER | M.D. | 1689679243 |
| DR. MARY C HARBOR | MD | 1205823986 |
| DR. STACEY LEIGH WINTERS | D.O | 1619942331 |
| CARA MARIE CADDELL | M.D. | 1902855943 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.