Individual provider Active NPI

Paul A Bilder, MD

  • Internal Medicine Physician
  • Cottage Grove, OR
National Provider Identifier
1275663247
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
10160 Issued in OR
Practice address
55 S 17TH St
Cottage Grove, OR 97424-2341
Phone
(541) 255-0361
Fax
(541) 255-0362
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD10106 OR
Internal Medicine Physician 207R00000X 10160 OR Primary

Addresses

Primary practice location

55 S 17TH St
Cottage Grove, OR 97424-2341

Mailing address

55 S 17TH St
Cottage Grove, OR 97424-2341
Phone (541) 255-0361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective May 21, 2024 through May 21, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10106ORMDFamily Medicine Physician
10160ORMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covered Bridge Physical Therapy LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1275663247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 17TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242341",
            "telephone_number": "541-255-0361",
            "fax_number": "541-255-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 17TH ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242341",
            "telephone_number": "541-255-0361",
            "fax_number": "541-255-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILDER",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD10106",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "10160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

Verify at the official NPI Registry.