Individual provider Active NPI

Brent Robert Wendel, DPM

  • Sports Medicine Podiatrist
  • Bend, OR
National Provider Identifier
1669557849
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine PodiatristTaxonomy code 213ES0000X
License
DP214271 Issued in OR
Practice address
900 NW Mt Washington Dr Ste 205
Bend, OR 97703-6719
Phone
(541) 246-3577
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine Podiatrist 213ES0000X DP214271 OR Primary

Addresses

Primary practice location

900 NW Mt Washington Dr Ste 205
Bend, OR 97703-6719

Mailing address

2221 NW High Lakes Loop
Bend, OR 97703-6973
Phone (206) 250-4320

Other identifiers 2

IdentifierTypeStateIssuer
101063OtherWALABOR AND INDUSTRY
1106616MedicaidWA

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241216000907 OR Practitioner - Podiatry 7618044603 Practice locations: Bend, OR

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

900 NW Mt Washington Dr
Suite 205
Bend, OR 97703-6719
Phone (541) 246-3577

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP214271ORMDSports Medicine Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brent R. Wendel, DPM, LLC Sports Medicine CurrentSince Oct 20, 2024 Accepting new patients

Locations

900 NW Mt Washington Dr
Ste 205
Bend, OR 97703
Phone (541) 246-3577

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1669557849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NW HIGH LAKES LOOP",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036973",
            "telephone_number": "206-250-4320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 NW MT WASHINGTON DR STE 205",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977036719",
            "telephone_number": "541-246-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENDEL",
        "first_name": "BRENT",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "OR",
            "license": "DP214271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRY",
            "identifier": "101063",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1106616",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

Verify at the official NPI Registry.