Active NPI
Theodore Prier, MD
- Family Medicine Physician
- Sisters, OR
National Provider Identifier
1780889261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD205854
- Practice address
- 354 W Adams Ave
Sisters, OR 97759-2619 - Phone
- (541) 549-9609
- NPI assigned
- Jun 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD205854 | OR | Primary |
Addresses
Primary practice location
354 W Adams Ave
Sisters, OR 97759-2619
Mailing address
2195 NE Professional CT
Bend, OR 97701-6028
Phone (509) 833-3871
Other practice location 1
2195 NE Professional Ct
Bend, OR 97701-6028
Phone (541) 322-9396
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210928000748 | OR | Practitioner - Family Practice | 3971658071 | Practice locations: Bend, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD205854 | OR | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborhood Family Medicine | Family Medicine | Current | Accepting new patients |
| Qhsa Dba Dr. Bradley J Burket DMD, MD | Past | Accepting new patients |
Locations
2195 NE Professional Ct
Ste 1
Bend, OR 97701
Phone (541) 322-9396
2195 NE Professional Ct
Bend, OR 97701
Phone (541) 322-9396
Interoperability endpoints
- tprier36165@coipa.gardenplot.direct-ci.com
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Bend, OR
- NPI 1225831837
-
- Preferred Provider Organization
- Bend, OR
- NPI 1538579727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1780889261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2195 NE PROFESSIONAL CT",
"city": "BEND",
"state": "OR",
"postal_code": "977016028",
"telephone_number": "509-833-3871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 W ADAMS AVE",
"city": "SISTERS",
"state": "OR",
"postal_code": "977592619",
"telephone_number": "541-549-9609"
}
],
"practiceLocations": [
{
"address_1": "2195 NE Professional Ct",
"address_purpose": "LOCATION",
"city": "Bend",
"state": "OR",
"postal_code": "977016028",
"country_code": "US",
"telephone_number": "541-322-9396",
"fax_number": "541-322-9398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRIER",
"first_name": "THEODORE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-15",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD205854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sisters, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.