BRAIDON FORREST FREEMAN (PA C) – Physician Assistant, NPI 1104812981

BRAIDON FORREST FREEMAN (PA C) is a healthcare provider. based in Portland, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. PA 01014 (OR). The NPI Number for BRAIDON FORREST FREEMAN (PA C) is 1104812981

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
BRAIDON FORREST FREEMAN (PA C)
NPI
1104812981
Phone
(503) 963-2801
Address
847 NE 19TH AVE
Enumeration Date
27 September 2005
Last Update Date
1 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5096843701
Graduation Year
2004 (22 years ago)
PAC ID
5193772366
Group Practice PAC ID
0345139929
Professional Enrollment ID
I20220810001679
Address ID
WA991143354CO1200XAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for BRAIDON FORREST FREEMAN (PA C)

  • Cascadia Behavioral Healthcare Administrative Office, 847, Northeast 19th Avenue, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    SUITE 300

    PORTLAND, OR 972322684

    Phone: (503) 963-2801

    Fax: (503) 963-2825

    Type: Mailing

  • Southwest Barnes Road, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97210, United States

    SUITE 440

    PORTLAND, OR 972256625

    Phone: (503) 297-3766

    Fax: (503) 297-8148

    Type: Location

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (509) 624-9112

    Type: Mailing

  • 105 W 8TH AVE STE 200

    SPOKANE, WA 992042318

    Phone: (509) 624-9112

    Fax: (503) 297-8148

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220810001679IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
69990Use of operating microscope2219$0
View full utilization report →

Insurance plans in this area (ZIP 97232)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345139929View full group profile

Reviews

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Frequently asked questions

Where can patients find BRAIDON FORREST FREEMAN (PA C)'s NPI?
You can confirm BRAIDON FORREST FREEMAN (PA C) with NPI 1104812981; it appears in the national provider directory.
Is BRAIDON FORREST FREEMAN (PA C) active in the national directory?
BRAIDON FORREST FREEMAN (PA C)'s public NPI profile is in an active state.
What kind of provider is BRAIDON FORREST FREEMAN (PA C)?
The page reflects Physician Assistant for BRAIDON FORREST FREEMAN (PA C). Clinical services aligned with this taxonomy classification.
What location shows for BRAIDON FORREST FREEMAN (PA C)?
We surface Portland, Oregon for BRAIDON FORREST FREEMAN (PA C) based on available NPPES addresses.
How can I contact BRAIDON FORREST FREEMAN (PA C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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