Individual provider Active NPI

Gregory J. Ferenz, D.O.

  • Neurology Physician
  • Bend, OR
National Provider Identifier
1568696243
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO162367 Issued in OR
Practice address
568 NE Savannah Dr Ste 2
Bend, OR 97701-4866
Phone
(541) 508-0393
Fax
(800) 853-1280
NPI assigned
May 8, 2009
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OT012388 PA
Neurology Physician 2084N0400X DO162367 OR Primary
Clinical Neurophysiology Physician 2084N0600X DR.0056957 CO

Addresses

Primary practice location

568 NE Savannah Dr Ste 2
Bend, OR 97701-4866

Mailing address

568 NE Savannah Dr Ste 2
Bend, OR 97701-4866
Phone (541) 508-0393

Other practice location 1

1511 Onyx Cir
Longmont, CO 80504-7805
Phone (440) 934-6135

Other identifiers 2

IdentifierTypeStateIssuer
500659636MedicaidOR
P01255924OtherORMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130820001098 OR Practitioner - Neurology 6305089491 Reassigns benefits to 1 organization
I20240627002854 OR Practitioner - Neurology 6305089491 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Bend, OR 97703
Phone (541) 382-2811

1600 NW Kingston Ave
Bend, OR 97703-2136

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO162367ORMDNeurology Physician
OT012388PAMDNeurology Physician
DR.0056957COMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Praxis Health, PC CurrentSince Jul 1, 2021 Accepting new patients
Praxis Health, PC CurrentSince Jul 1, 2021 Accepting new patients

Locations

1303 NE Cushing Dr
Ste 100
Bend, OR 97701
Phone (541) 330-8226

Organizations & group practices 2

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1241740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1568696243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 NE SAVANNAH DR STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014866",
            "telephone_number": "541-508-0393",
            "fax_number": "800-853-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 NE SAVANNAH DR STE 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014866",
            "telephone_number": "541-508-0393",
            "fax_number": "800-853-1280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 Onyx Cir",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805047805",
            "country_code": "US",
            "telephone_number": "440-934-6135",
            "fax_number": "440-937-6147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERENZ",
        "first_name": "GREGORY",
        "middle_name": "J.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-08",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OT012388",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO162367",
            "primary": true
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "CO",
            "license": "DR.0056957",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500659636",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P01255924",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.