Look up the most recent NPI and PECOS records

Bryan Tolle

Family Medicine

Allopathic & Osteopathic Physicians

506 4th St, La Grande, OR 97850-1906

PECOS Enrollment

Based on the most recent information from CMS, provider Bryan Tolle is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1275878894
Provider Type
Individual
Full Name
Tolle, Bryan
Title
Mr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
12/7/2012
Last Updated
6/2/2020

Contact Information

Practice Location

506 4th St, La Grande, OR 97850-1906

(541) 663-3138

Unlisted Fax

Mailing Location

506 4th St, La Grande, OR 97850-1906

(541) 663-3138

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License OS018207 Pennsylvania
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 208D00000X	Description General Practice Allopathic & Osteopathic Physicians	License 510102115 Michigan

Bryan Tolle

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Davis, Brooke

Yangson, Anda Karleen Balderrama

Kim R. Montee, M.D., P.C.

Tishman, Bradley Jack

Tishman, Naghmeh

Hansen, Mckenzie

Tolle, Michelle

Michael H. Mcqueen M.D P.C

Bryan R Conklin Md Pc

Schoenfelder, Ellen K