Braich, Theodore Anthony

Braich, Theodore Anthony is an individual health care provider with primary practice located at 2500 Ne Neff Rd , Bend OR 97701-6015. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Medical Oncology, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Braich, Theodore Anthony can be contacted via phone (541) 706-5800.

Contact Information

Primary practice address
2500 Ne Neff Rd Bend OR 97701-6015
Phone: (541) 706-5800
Fax: (541) 706-6341
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD24320 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD24320 Oregon
Allopathic & Osteopathic Physicians / Hematology 207RH0000X MD24320 Oregon

Profile Details

NPI number 1649286204
LBN Legal business name Braich, Theodore Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Dec 14th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649286204 NPPES
Oregon Other 00411275 MEDICARE RAILROAD
Oregon Other P00411275 MEDICARE RAILROAD
Oregon MEDICAID 226900 MEDICARE RAILROAD

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