OrganizationActive
Coastal Cardiology LLC
NPI 1609882216 · Cardiovascular Disease Physician · Brookings, OR
Provider details
- NPI number
- 1609882216
- Entity type
- Organization
- Primary specialty
- Cardiovascular Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Richard Bodager, Ceo(541) 789-5600
- License
- 2498 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% 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
412 Alder St
Brookings, OR 97415-9014
Phone: (541) 412-7799
Street-level locationGet directions
Mailing address
412 Alder St
Brookings, OR 97415-9014
Registry dates
- Enumerated
- 2006-08-01
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.