IndividualActive
Fred Bruderlin
NPI 1275041436 · Community Health Worker · Portland, OR
Fred Bruderlin is a Community Health Worker provider in Portland, OR (NPI 1275041436).
Provider details
- NPI number
- 1275041436
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
- Community Health Worker172V00000X
Other Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5211 Ne Glisan St Bldg C
Portland, OR 97213-3052
Phone: (503) 704-6658
Street-level locationGet directions
Mailing address
515 Atwater Rd
Lake Oswego, OR 97034-2115
Registry dates
- Enumerated
- 2018-01-22
- Last updated
- 2018-01-22
Frequently asked questions
- What is Fred Bruderlin's NPI number?
- Fred Bruderlin's National Provider Identifier (NPI) is 1275041436, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Bruderlin's specialty?
- Fred Bruderlin is listed in the NPPES registry with a primary specialty of Community Health Worker (Other Service Providers).
- Where is Fred Bruderlin located?
- Fred Bruderlin's practice location on file with NPPES is 5211 Ne Glisan St Bldg C, Portland, OR 97213-3052.
- What is Fred Bruderlin's phone number?
- The practice phone number listed in the NPPES registry for Fred Bruderlin is (503) 704-6658.
- Is Fred Bruderlin's NPI active?
- Yes — Fred Bruderlin's NPI (1275041436) is active in the NPPES registry as of the last update on 2018-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.