Individual provider Active NPI

Jane Marie Birschbach, MD

  • Gynecology Physician
  • Bend, OR
National Provider Identifier
1164435566
Registry record updated May 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
20470 Issued in OR
Practice address
25 NW Louisiana Ave
Suite 100
Bend, OR 97701-3294
Phone
(541) 388-8253
Fax
(541) 617-0894
NPI assigned
Aug 15, 2006
Last updated
May 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 20470 OR Primary

Addresses

Primary practice location

25 NW Louisiana Ave
Suite 100
Bend, OR 97701-3294

Mailing address

929 SW Simpson Ave
Ste 300
Bend, OR 97702-3599
Phone (541) 389-7741

Other identifiers 1

IdentifierTypeStateIssuer
278325MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100814000266 OR Practitioner - Obstetrics/Gynecology 7214923754 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20470ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes County Oregon CurrentSince Feb 23, 2022 Accepting new patients
Deschutes County Oregon Current Accepting new patients
Deschutes County Oregon CurrentSince Feb 23, 2022 Accepting new patients
East Cascade Womens Group, P C CurrentSince Jan 1, 2025 Accepting new patients
St. Charles Health System, Inc. PastSince Jan 1, 2025 Accepting new patients
All Womens Care P C Past Accepting new patients

Locations

2400 NE Neff Rd
Ste A
Bend, OR 97701
Phone (541) 389-3300

2577 NE Courtney Dr
Bend, OR 97701
Phone (541) 322-7400

Interoperability endpoints

  • FHIR API: https://epicproxy.et4001.epichosted.com/APIProxyPRD/ECWG/api/FHIR/R4
  • Direct secure messaging: jbirschbach29497@coipa.gardenplot.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1164435566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SW SIMPSON AVE",
            "address_2": "STE 300",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023599",
            "telephone_number": "541-389-7741",
            "fax_number": "541-278-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NW LOUISIANA AVE",
            "address_2": "SUITE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013294",
            "telephone_number": "541-388-8253",
            "fax_number": "541-617-0894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRSCHBACH",
        "first_name": "JANE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "20470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278325",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.