Individual provider Active NPI

Theodore Prier, MD

  • Family Medicine Physician
  • Sisters, OR
National Provider Identifier
1780889261
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD205854 Issued in OR
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

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
MD205854ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Family Medicine Family Medicine CurrentSince Apr 6, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.