Active NPI
Brent R. Wendel, DPM, LLC
- Sports Medicine Podiatrist
- Bend, OR
National Provider Identifier
1043030232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine Podiatrist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brent Robert Wendel, DPM
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine Podiatrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Sports Medicine Podiatrist
- Bend, OR
- NPI 1669557849
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.