Active NPI
Neurology of Bend LLC
- Neurology Physician
- Bend, OR
National Provider Identifier
1649314253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- Legal business name
- NEUROLOGY OF BEND LLC
- Practice address
- 2421 NE Doctors Dr
Bend, OR 97701-6031 - Phone
- (541) 388-3311
- Fax
- (541) 389-1887
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary David Buchholz, MD
- Title
- Member
- Phone
- (541) 388-3311
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | Primary |
Addresses
Primary practice location
2421 NE Doctors Dr
Bend, OR 97701-6031
Mailing address
2421 NE Doctors Dr
Bend, OR 97701-6031
Phone (541) 388-3311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213485 | Medicaid | OR |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology Physician
- Bend, OR
- NPI 1144292590
-
- Neurology Physician
- Bend, OR
- NPI 1750342010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196726400000",
"number": "1649314253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 NE DOCTORS DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016031",
"telephone_number": "541-388-3311",
"fax_number": "541-389-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 NE DOCTORS DR",
"city": "BEND",
"state": "OR",
"postal_code": "977016031",
"telephone_number": "541-388-3311",
"fax_number": "541-389-1887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEUROLOGY OF BEND LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2007-12-04",
"status": "A",
"authorized_official_last_name": "BUCHHOLZ",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "541-388-3311",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213485",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
- Colin Nettles
- Katherine Neubauer, N.D.
- Kristin Jayne Neuhaus, M.D.
- Neuro SLP Services
- Neuro Speech Therapy
- Neuromusculoskeletal Center of the Cascades PC
- Neuromusculoskeletal Center of the Cascades PC
- Neuromusculoskeletal Center of the Cascades PC
- Neuromusculoskeletal Center of the Cascades PC
- Josie Neuzil, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.