Gilbert B. Lee, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD 12003 Issued in OR

Practice address

1558 SW Nancy Way
Bend, OR 97702-3216

Phone

(541) 312-8679

NPI assigned

Mar 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ponderosa Medical

  • Internal Medicine Physician
  • Bend, OR
  • NPI 1710931274
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003930991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1558 SW NANCY WAY",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023216",
            "telephone_number": "541-312-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "GILBERT",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD 12003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100360",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lee Painter LCSW LLC
• Adrienne Claire Lee, RDN
• Christina Marie Lee, RN
• Courtney Lee, MS
• Derek James Lee, DPT, PT
• Greg Lee, D.M.D.
• James T Lee, PHARM.D.
• Jillian Lee
• Kristen Lee
• Teri Campbell Lee

• Internal Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.