Gary D Buchholz MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

MD14593 Issued in OR

Legal business name

GARY D BUCHHOLZ MD PC

Practice address

2275 NE Doctors Dr
Suite 9
Bend, OR 97701-6324

Phone

(541) 706-5460

Fax

(541) 706-9282

NPI assigned

Apr 11, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Gary D Buchholz, MD

Title

President

Phone

(541) 706-5460

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1043653777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "SUITE 9",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-706-5460",
            "fax_number": "541-706-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 NE DOCTORS DR",
            "address_2": "SUITE 9",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016324",
            "telephone_number": "541-706-5460",
            "fax_number": "541-706-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D BUCHHOLZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "BUCHHOLZ",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-706-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OR",
            "license": "MD14593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "151332",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilary E Garrett, MS PT
• Kym Garrett, L.AC.
• Stuart G Garrett, M.D.
• Keri Lynn Garrison, LMT
• Hailey Marie Garside, NP
• Gary E Dehm DMD , PC
• Erin K Garza, MD
• Omar Ricardo Garza, FNP
• Dara Kay Gaskin, PA-C
• Rodrigo Gaspar Barajas, CHI

• Medical Specialty Clinic/Center in Bend, OR
• Providers in Bend, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.