Jack E Berndt, MD

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

2026010959 Issued in MO

Practice address

1715 SW Chandler Ave
Bend, OR 97702-3615

Phone

(541) 588-5620

Fax

(888) 625-0286

NPI assigned

May 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OR

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bay Area Hospital District

  dba Bay Area Hospital

  • General Acute Care Hospital
  • Coos Bay, OR
  • NPI 1225016561
  Medicare reassignment NPD
• Bend Memorial Clinic PC

  dba Summit Health

  • Family Medicine Physician
  • Bend, OR
  • NPI 1699827477
  Medicare reassignment NPD
• North Bend Medical Center Inc

  dba NBMC-Main

  • Multi-Specialty Clinic/Center
  • Coos Bay, OR
  • NPI 1407812365
  Medicare reassignment NPD
• Summit Health Solutions

  • Interventional Pain Medicine Physician
  • Bend, OR
  • NPI 1295075984
  Authorized official Same address or phone
• Bay Area Hospital District

  • Home Health Agency
  • North Bend, OR
  • NPI 1215018197
  NPD
• Bend Memorial Clinic PC

  dba Bend Memorial Clinic PC dba Summit Health

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1972144913
  NPD
• Roseburg Anesthesiology Specialists

  • Anesthesiology Physician
  • Roseburg, OR
  • NPI 1649212432
  NPD
• Bay Group Anesthesia Services, PC

  • Anesthesiology Physician
  • Coos Bay, OR
  • NPI 1619920014
  NPD (past)
• Oregon Trail Health Care

  dba PCA Pain Care Center

  • Pain Medicine (Anesthesiology) Physician
  • Bend, OR
  • NPI 1851679583
  NPD (past)
• Dodd Hyer, M.D. LTD

  • Anesthesiology Physician
  • Las Vegas, NV
  • NPI 1477599330
  NPD (past)

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1467408682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 SW CHANDLER AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023615",
            "telephone_number": "541-588-5620",
            "fax_number": "888-625-0286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SW CHANDLER AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023615",
            "telephone_number": "541-588-5620",
            "fax_number": "888-625-0286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2421 NE Doctors Dr",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977017111",
            "country_code": "US",
            "telephone_number": "541-323-3363",
            "fax_number": "541-323-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERNDT",
        "first_name": "JACK",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "OR",
            "license": "MD25340",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "2026010959",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2026010959",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD25340",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MO",
            "license": "2026010959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022708",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026010959",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosimery Da Silva Lopes Bergeron, LPC, CRC, MS
• Curtis Stanley Bergquist, MD
• David Bergstrom, DPT
• Lauren Berkey
• Liliana Janeth Bernabe Hernandez
• Sandra Lynn Bernklau, APRN-BC
• Jayson Berray
• John P Berreen, MD
• Emily Berry, M.D.
• Katherine Ann Berry, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.