Active NPI
Neuromusculoskeletal Center of the Cascades PC
- Specialist
- Bend, OR
National Provider Identifier
1114395779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD24633
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38D2009896 | Other | OR | CLIA |
| 134170 | Medicaid | OR |
Other names 1
- The Center
National Provider Directory
National Provider DirectoryLocations
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
- Katherine Neubauer, N.D.
- Kristin Jayne Neuhaus, M.D.
- Neuro SLP Services
- Neuro Speech Therapy
- Neurology of Bend LLC
- Neuromusculoskeletal Center of the Cascades PC
- Neuromusculoskeletal Center of the Cascades PC
- Neuromusculoskeletal Center of the Cascades PC
- Josie Neuzil, LMT
- Katherine Marie Nevinsky, LMT
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.