Active NPI
Patrick Fitzsimons, L.AC.
- Acupuncturist
- Bend, OR
National Provider Identifier
1508118753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 408
- Practice address
- 19820 Village Office CT Ste 202
Bend, OR 97702-2947 - Phone
- (541) 480-4079
- NPI assigned
- Oct 12, 2012
- Last updated
- Sep 29, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 408 | NC | Primary |
Addresses
Primary practice location
19820 Village Office CT Ste 202
Bend, OR 97702-2947
Mailing address
19820 Village Office CT Ste 202
Bend, OR 97702-2947
Phone (541) 480-4079
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Brianna Bransteter DC, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664409600000",
"number": "1508118753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19820 VILLAGE OFFICE CT STE 202",
"city": "BEND",
"state": "OR",
"postal_code": "977022947",
"telephone_number": "541-480-4079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19820 VILLAGE OFFICE CT STE 202",
"city": "BEND",
"state": "OR",
"postal_code": "977022947",
"telephone_number": "541-480-4079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMONS",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-12",
"last_updated": "2022-09-29",
"certification_date": "2022-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NC",
"license": "408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.