RESA L. BRADEEN MD – NPI #1023010410
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

RESA BRADEEN is a physician located in HAPPY VALLEY, OR. NPPES has assigned the NPI number 1023010410 to RESA BRADEEN on August 15, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name THERESA L HYZER. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was last updated on Sep 20, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RESA BRADEEN below.

NPI Profile for
RESA L. BRADEEN

NPI Number
1023010410
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
RESA L. BRADEEN
Former Name: THERESA L HYZER
Credentials
MD
Primary location
9300 SE 91ST AVE STE 200
HAPPY VALLEY, OR 97086-3762
Phone: (503) 261-1171 Fax: (503) 253-5989
Mailing address
200 SW MARKET ST STE 1650
PORTLAND, OR 97201-5715
Phone: (503) 601-3455 Fax:
Sole Proprietor
No
Updated
Certification Date
Sep 20, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for RESA BRADEEN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR059886
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
OR MD17410

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.