Active NPI
Stephen Andrew Eraker, M.D.
- Internal Medicine Physician
- Bend, OR
National Provider Identifier
1841306123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD08248
- Practice address
- 2115 NE Wyatt CT
Bend VA Clinic, Suite 201
Bend, OR 97701-7678 - Phone
- (541) 381-9110
- Fax
- (541) 389-5459
- NPI assigned
- Aug 21, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD08248 | OR | Primary |
Addresses
Primary practice location
2115 NE Wyatt CT
Bend VA Clinic, Suite 201
Bend, OR 97701-7678
Mailing address
2115 NE Wyatt CT
Bend VA Clinic, Suite 201
Bend, OR 97701-7678
Phone (541) 381-9110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD08248 | OR | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841306123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2115 NE WYATT CT",
"address_2": "BEND VA CLINIC, SUITE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977017678",
"telephone_number": "541-381-9110",
"fax_number": "541-389-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2115 NE WYATT CT",
"address_2": "BEND VA CLINIC, SUITE 201",
"city": "BEND",
"state": "OR",
"postal_code": "977017678",
"telephone_number": "541-381-9110",
"fax_number": "541-389-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERAKER",
"first_name": "STEPHEN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OR",
"license": "MD08248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bend, OR
- Mark Enker, MD
- Enlightened Pathways Counseling
- Benjamin Charles Enyart, QMHA-R
- Equinimity, LLC
- Equinox Integrative Counseling LLC
- Amy Kreutzer Erber, ARNP
- Eric M Cadwell DDS PLLC (PureCare Dental of Bend)
- Erica M. Staehle, LLC (NorthWest Crossing Chiropractic & Health)
- Brian L. Erickson, MD
- Carolynne Michele Erickson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.