Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578950291 Individual Practitioner Female Practitioner

Dr. Tatiana Zupekan Brinckerhoff , MD

Pediatrics • Corvallis, OR

Professional Overview & Biography Verified Profile Summary

Dr. Tatiana Brinckerhoff, MD is a registered healthcare professional specializing in Pediatrics in Corvallis, OR. Practice services are available at 777 NW 9TH ST STE 320 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

777 Nw 9th St Ste 320

Corvallis, OR 973306169

Telephone 5417684900
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Corvallis, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.9 Yrs
Regional Practice Density
31 Specialists

Practicing in Corvallis, OR (880 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-11-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License OR MD211003

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.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License WI 69696

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100080735 (WI)

Secondary Practice Locations

2714 Riverview Dr

Green Bay, WI 543136715

Phone: 9204304760

555 Redbird Cir Ste 200

De Pere, WI 541157979

Phone: 9203386820

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1093038986

Doctor of Medicine (M.D.)

NPI 1124062955

Doctor of Medicine (M.D.)

NPI 1588915896

Doctor of Medicine (M.D.)

Kimberly Iszler , RD

Dietitian, Registered

NPI 1649567009

Registered Dietitian

NPI 1932143344

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location November 14, 2022

Registered at 777 NW 9TH ST STE 320, CORVALLIS, OR 973306169 (Tel: 5417684900)

📍
Updated Business Mailing Address November 14, 2022

Registered at PO BOX 1189, CORVALLIS, OR 973391189

📍
Updated Practice Location October 23, 2020

Registered at 555 REDBIRD CIR STE 200, DE PERE, WI 541157979 (Tel: 9203386820)

📍
Updated Business Mailing Address October 23, 2020

Registered at PO BOX 22487, GREEN BAY, WI 543052487 (Tel: 9204457222)

📍
Updated Practice Location September 12, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 54904 (Tel: 9203038700)

📍
Updated Business Mailing Address September 12, 2018

Registered at 855 N WESTHAVEN DR, OSHKOSH, WI 549047668 (Tel: 9203038700)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2018

Pediatrics (License #69696 in WI)

NPI Profile Active April 21, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2015

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5165726177)

📍
Updated Business Mailing Address April 21, 2015

Registered at 5100 COUNTRY CLUB DR, PARADISE, CA 959696603 (Tel: 3106547682)

👤
Provider Name / Credentials Updated April 21, 2015

Recorded as TATIANA BRINCKERHOFF, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 21, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578950291
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 21, 2015
Last Update: November 14, 2022
Sole Proprietor: No

Mailing Address

Po Box 1189

Corvallis, OR 973391189

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.