NPIMap

Organization Active NPI

Central Oregon Magnetic Resonance Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1114972155
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRAL OREGON MAGNETIC RESONANCE IMAGING LLC
Practice address
1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone
(541) 598-3218
Fax
(541) 383-4577
NPI assigned
May 24, 2006
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Kris Harvey
Title
Chief Pas Officer
Phone
(541) 598-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1460 NE Medical Center Dr
Bend, OR 97701-6061

Mailing address

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

Other practice location 1

61270 SE Coombs Pl Ste 150
Bend, OR 97702-3748
Phone (541) 382-6633

Other practice location 2

2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Phone (541) 382-6633

Other practice location 3

1342 NE Medical Center Dr Ste 101
Bend, OR 97701-5918
Phone (541) 382-6633

Other practice location 4

1693 SW Chandler Ave Ste 140
Bend, OR 97702-3230
Phone (541) 382-6633

Other practice location 5

2500 NE Neff Rd Ste Ll001
Bend, OR 97701-6015
Phone (541) 382-6633

Other practice location 6

1531 NW Canal Blvd Ste 110
Redmond, OR 97756-1341
Phone (541) 382-6633

Other practice location 7

1253 NW Canal Blvd Ste 101
Redmond, OR 97756-1334
Phone (541) 382-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171018001990 OR Part B Supplier - Clinic/Group Practice 8224058003 Receives reassigned benefits from 42 practitioners
6 other NPIs on this enrollment
Practice locations: Redmond, OR; Bend, OR

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

61270 SE Coombs Pl
Ste 150
Bend, OR 97702
Phone (541) 408-9313

1531 NW Canal Blvd
Redmond, OR 97756
Phone (541) 598-3218

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1114972155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-598-3218",
            "fax_number": "541-383-4577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61270 SE Coombs Pl Ste 150",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023748",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 NE Neff Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977014281",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1342 NE Medical Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977015918",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1693 SW Chandler Ave Ste 140",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977023230",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 NE Neff Rd Ste Ll001",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016015",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1531 NW Canal Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561341",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1253 NW Canal Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Redmond",
            "state": "OR",
            "postal_code": "977561334",
            "country_code": "US",
            "telephone_number": "541-382-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL OREGON MAGNETIC RESONANCE IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KRIS",
        "authorized_official_title_or_position": "CHIEF PAS OFFICER",
        "authorized_official_telephone_number": "541-598-3218"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.