# ROSEBURG ANESTHESIOLOGY SPECIALISTS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649212432
- **Authorized official:** BART JOSEPH BRUNS MD (PRESIDENT)
- **Authorized official phone:** (503) 372-2740

## Contact information

- **Practice address:** 2700 NW STEWART PKWY, ROSEBURG, OR 97470-1281
- **Practice address phone:** (541) 673-0611
- **Mailing address:** PO BOX 94383, SEATTLE, WA 98124-6683
- **Mailing address phone:** (503) 372-2740
- **Mailing address fax:** (503) 372-2754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 03/09/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 227617 | — | OR |
| 01 | — | DB2232 | RAILROAD MEDICARE | OR |