Bernd Egidy, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D6930 Issued in OR

Practice address

2372 W Main St
Medford, OR 97501-2184

Phone

(541) 779-3399

Fax

(541) 779-3382

NPI assigned

Aug 6, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Choctaw Nation of Oklahoma

  • Primary Care Clinic/Center
  • Broken Bow, OK
  • NPI 1770559619
  NPD (past)

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497830400000",
    "number": "1194981332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 ROYAL COURT",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046139",
            "telephone_number": "541-414-0519",
            "fax_number": "541-842-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2372 W MAIN ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012184",
            "telephone_number": "541-779-3399",
            "fax_number": "541-779-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGIDY",
        "first_name": "BERND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-06",
        "last_updated": "2017-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D6930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Efigenio
• Jerem St John Egan, LMT
• Necia E Egan, RDH
• Robert Arthur Egan, MD
• Benjamin Egendoerfer, PHARMD
• Jesus Egoavil, DPT
• Eiger Branch, LLC
• Kimberly Eikenberry
• Sarah May Eilertson, LPC, MS, NCC, CCTP
• David Eisenhaure

• General Practice Dentistry in Medford, OR
• Providers in Medford, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2017; 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.