Individual provider Active NPI

Richard A. Stagliano, MD

  • General Practice Physician
  • Bend, OR
National Provider Identifier
1053485359
Registry record updated Jan 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD196711 Issued in OR
Practice address
2900 NW Clearwater Dr Ste 200
Bend, OR 97703-9412
Phone
(415) 745-3305
Fax
(415) 634-0285
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD196711 OR Primary

Addresses

Primary practice location

2900 NW Clearwater Dr Ste 200
Bend, OR 97703-9412

Mailing address

2900 NW Clearwater Dr Ste 200
Bend, OR 97703-9412
Phone (415) 745-3305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD196711ORMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roxborough Emergency Physician Associates, LLC Emergency Medicine Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1053485359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NW CLEARWATER DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039412",
            "telephone_number": "415-745-3305",
            "fax_number": "415-634-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NW CLEARWATER DR STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977039412",
            "telephone_number": "415-745-3305",
            "fax_number": "415-634-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGLIANO",
        "first_name": "RICHARD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "OR",
            "license": "MD196711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.