Active NPI
Bernard Leo Legner
- Marriage & Family Therapist
- Medford, OR
National Provider Identifier
1447221494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- T-0050
- Practice address
- 18 Portland Ave
Medford, OR 97504-7309 - Phone
- (541) 772-6722
- NPI assigned
- Jan 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T-0050 | OR | Primary |
Addresses
Primary practice location
18 Portland Ave
Medford, OR 97504-7309
Mailing address
1176 E Hills CT
Medford, OR 97504-3657
Phone (541) 772-6722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-0050 | OR | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1447221494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1176 E HILLS CT",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975043657",
"telephone_number": "541-772-6722",
"fax_number": "541-245-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 PORTLAND AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975047309",
"telephone_number": "541-772-6722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEGNER",
"first_name": "BERNARD",
"middle_name": "LEO",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-29",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OR",
"license": "T-0050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.