Active NPI
Daniel E Fohrman, M.D.
- Rheumatology Physician
- Bend, OR
National Provider Identifier
1780795625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD12275
- Practice address
- 2200 NE Neff Rd
Ste 302
Bend, OR 97701-4279 - Phone
- (541) 388-2232
- Fax
- (541) 278-8366
- NPI assigned
- Aug 31, 2006
- Last updated
- Dec 21, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD12275 | OR | |
| Rheumatology Physician | 207RR0500X | MD12275 | OR | Primary |
Addresses
Primary practice location
2200 NE Neff Rd
Ste 302
Bend, OR 97701-4279
Mailing address
2200 NE Neff Rd
Suite 302
Bend, OR 97701-4283
Phone (541) 388-2232
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 234203 | Medicaid | OR | |
| 00469972 | Other | OR | RAILROAD MEDICARE |
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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD12275 | OR | MD | Rheumatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deschutes Rheumatology, LLC | Rheumatology | Current | Accepting new patients |
Locations
2200 NE Neff Rd
Ste 302
Bend, OR 97701
Phone (541) 706-4220
695 NW York Dr
Ste 110
Bend, OR 97703
Phone (541) 388-3978
15301 Spectrum Dr
Ste 330
Addison, TX 75001
Phone (806) 239-5716
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": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545350400000",
"number": "1780795625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD",
"address_2": "SUITE 302",
"city": "BEND",
"state": "OR",
"postal_code": "977014283",
"telephone_number": "541-388-2232",
"fax_number": "541-278-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 NE NEFF RD",
"address_2": "STE 302",
"city": "BEND",
"state": "OR",
"postal_code": "977014279",
"telephone_number": "541-388-2232",
"fax_number": "541-278-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOHRMAN",
"first_name": "DANIEL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2018-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OR",
"license": "MD12275",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "OR",
"license": "MD12275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "234203",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "00469972",
"state": "OR"
}
],
"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 Dec 21, 2018; 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.