Bend Plastic & Reconstructive Surgery, P.C.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

MD26066 Issued in OR

Legal business name

BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.

Practice address

1239 NE Medical Center Dr Ste 240
Bend, OR 97701-7359

Phone

(541) 749-2822

Fax

(541) 749-2283

NPI assigned

Feb 28, 2016

Last updated

Dec 5, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam P Angeles, M.D.NPI 1336209345

Title

Authorized Official

Phone

(541) 784-7848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Adam Peter Angeles, MD

  • Plastic and Reconstructive Surgery Physician
  • Bend, OR
  • NPI 1336209345
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1456617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1447610803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 240",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-749-2822",
            "fax_number": "541-749-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1239 NE MEDICAL CENTER DR STE 240",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017359",
            "telephone_number": "541-749-2822",
            "fax_number": "541-749-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND PLASTIC & RECONSTRUCTIVE SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-28",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "ANGELES",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "541-784-7848",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "OR",
            "license": "MD26066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bend Plastic & Reconstructive Surgery, LLC (Bend Plastic Surgery)
• Bend Senior Care Management LLC
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• Bend Sovereign Wellness LLC (Bend Sovereign Wellness)
• Bend Spine & Pain Specialists, LLC
• Bend Surgery Center LLC (Bend Surgery Center)

• Plastic and Reconstructive Surgery Physician in Bend, OR
• Providers in Bend, OR by specialty
• Plastic and Reconstructive Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.