Organization Active NPI

Brent R. Wendel, DPM, LLC

  • Sports Medicine Podiatrist
  • Bend, OR
National Provider Identifier
1043030232
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
Legal business name
BRENT R. WENDEL, DPM, LLC
Practice address
900 NW Mt Washington Dr Ste 205
Bend, OR 97703-6719
Phone
(541) 246-3577
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Dr. Brent Robert Wendel, DPMNPI 1669557849
Title
Owner
Phone
(206) 250-4320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0000X Primary

Addresses

Primary practice location

900 NW Mt Washington Dr Ste 205
Bend, OR 97703-6719

Mailing address

2221 NW High Lakes Loop
Bend, OR 97703-6973
Phone (206) 250-4320

Other names 1

  • Bend Foot and Ankle Doing business as

National Provider Directory

National Provider Directory

Locations

900 NW Mt Washington Dr
Ste 205
Bend, OR 97703
Phone (541) 246-3577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1043030232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NW HIGH LAKES LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036973",
            "telephone_number": "206-250-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW MT WASHINGTON DR STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036719",
            "telephone_number": "541-246-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT R. WENDEL, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "WENDEL",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-250-4320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Foot and Ankle",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.