Individual provider Active NPI

Daniel E Fohrman, M.D.

  • Rheumatology Physician
  • Bend, OR
National Provider Identifier
1780795625
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD12275 Issued in OR
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
234203MedicaidOR
00469972OtherORRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061227000350 OR Practitioner - RheumatologyPractitioner - Internal Medicine 5092619379 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD12275ORMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Deschutes Rheumatology, LLC Rheumatology CurrentSince Apr 1, 2009 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

Verify at the official NPI Registry.