Organization Active NPI

Neuromusculoskeletal Center of the Cascades PC

  • Specialist
  • Bend, OR
National Provider Identifier
1114395779
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD24633 Issued in OR
Legal business name
NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC
Practice address
815 SW Bond St
Bend, OR 97702-3593
Phone
(541) 382-3344
Fax
(541) 382-1681
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Mr. Brett Hazlett
Title
Ceo
Phone
(541) 322-2379

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X MD24633 OR Primary
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

815 SW Bond St
Bend, OR 97702-3593

Mailing address

2200 NE Neff Rd
Suite 200
Bend, OR 97701-4283
Phone (541) 382-3344

Other identifiers 2

IdentifierTypeStateIssuer
38D2009896OtherORCLIA
134170MedicaidOR

Other names 1

  • The Center Doing business as

National Provider Directory

National Provider Directory

Locations

2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1114395779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 NE NEFF RD",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014283",
            "telephone_number": "541-382-3344",
            "fax_number": "541-382-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 SW BOND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023593",
            "telephone_number": "541-382-3344",
            "fax_number": "541-382-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROMUSCULOSKELETAL CENTER OF THE CASCADES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "HAZLETT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-322-2379",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD24633",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "38D2009896",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134170",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Center",
            "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 Jul 24, 2023; 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.