Bart A Adams, MD
Individual provider Active NPI Ophthalmology Physician · Pendleton, OR
NPI 1851344667 · NPPES record last updated Apr 9, 2019
Key facts
- NPI
- 1851344667
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Ophthalmology Physician 207W00000X
- License
- MD18666 (OR)
- Practice address
- 1050 Southgate
Suite a
Pendleton, OR 97801-3953 - Phone
- (541) 276-4752
- Fax
- (541) 278-2918
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120509000311 | OR | Practitioner - Ophthalmology | 7416938972 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65424 | CA | MD | Ophthalmology Physician |
| MD18666 | OR | MD | Ophthalmology Physician |
| 30047 | MN | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pendleton Eye Clinic PC | Ophthalmology | Current |
Accepting new patients |
| East Oregon Surgery Center, LLC | Past |
Accepting new patients |
Locations
405 N 1st St
Ste 106
Hermiston, OR 97838
Phone (541) 371-1900
1050 Southgate
#A
Pendleton, OR 97801
Phone (541) 276-4752
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 30047 | MN | |
| Ophthalmology Physician | 207W00000X | G65424 | CA | |
| Ophthalmology Physician | 207W00000X | MD18666 | OR | Yes |
Addresses
Primary practice location
1050 Southgate
Suite a
Pendleton, OR 97801-3953
Mailing address
1050 Southgate
Suite a
Pendleton, OR 97801-3953
Phone (541) 276-4752
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061275 | Medicaid | OR |
Other providers in Pendleton, OR
- Joette Thomas :Young
- 3-D Healthcare Services P.C.
- Jennifer Acevedo
- Maryam B Adam-Sager
- Bradley Scott Adams
- Mandy Adams
- Melissa M Adams
- Rebecca Ellen Adams
- Danielle Kathryn Addleman
All providers in Pendleton, OR · Ophthalmology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.