Ronald Lee Bendorf, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

19097 Issued in IA

Practice address

801 Harmony St
Suite #302
Council Bluffs, IA 51503-3106

Phone

(712) 328-2609

NPI assigned

Jan 18, 2007

Last updated

Jun 26, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1053464834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14323 230TH ST",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515037217",
            "telephone_number": "712-366-9839",
            "fax_number": "712-366-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 HARMONY ST",
            "address_2": "SUITE #302",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515033106",
            "telephone_number": "712-328-2609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENDORF",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "19097",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NE",
            "license": "10881",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Allison Beedle, LMHC
• Robin Beery
• Lisa J Bellows, LISW
• Montesha Bender
• Eric Matthew Bendorf, M.D.
• Angela Benson, CRNA
• Anthony J Beraldi, RPH
• Caitlin Anne Beresford, D.D.S.
• Ronald Joseph Berube Jr., MS
• Yulissa A Berumen Gurrola

• Psychiatry Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.