Bend Spine & Pain Specialists, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

BEND SPINE & PAIN SPECIALISTS, LLC

Practice address

2542 NE Courtney Dr Ste 200G
Bend, OR 97701-7684

Phone

(541) 647-1645

Fax

(541) 647-1648

NPI assigned

May 22, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Theodore Rowe Ford, MDNPI 1205940830

Title

Owner

Phone

(541) 420-3822

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACJEAA

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Rowe Ford, MD

  • Interventional Pain Medicine Physician
  • Bend, OR
  • NPI 1205940830
  Medicare reassignment NPD Authorized official
• Catherine Ruth Sheldon Platt, MD

  • Interventional Pain Medicine Physician
  • Bend, OR
  • NPI 1568452589
  NPD

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1316104615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 669",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090669",
            "telephone_number": "541-647-1645",
            "fax_number": "541-647-1648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 NE COURTNEY DR STE 200G",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017684",
            "telephone_number": "541-647-1645",
            "fax_number": "541-647-1648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND SPINE & PAIN SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "ROWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-420-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bend Sovereign Wellness LLC (Bend Sovereign Wellness)
• Bend Surgery Center LLC (Bend Surgery Center)
• Bend Therapist, LLC
• Bend Thoughts and Therapy
• Bend Toothfairies
• Bend Urology Associates, LLC

• Interventional Pain Medicine Physician in Bend, OR
• Providers in Bend, OR by specialty
• Interventional Pain Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.