Bend Memorial Clinic PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BEND MEMORIAL CLINIC PC

Practice address

231 E Cascade Ave
Sisters, OR 97759-1140

Phone

(541) 549-0303

NPI assigned

Apr 5, 2010

Last updated

Jan 31, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Hagfors

Title

Ceo

Phone

(541) 706-5401

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Bend Memorial Clinic PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Bend Memorial Clinic PC

  • Family Medicine Physician
  • Bend, OR
  • NPI 1689800773
  NPD tax ID
• Bend Memorial Clinic PC

  • Dermatology Physician
  • Bend, OR
  • NPI 1780846501
  NPD tax ID
• Bend Memorial Clinic, PC

  dba Summit Health Physician Dispensary

  • Non-Pharmacy Dispensing Site
  • Bend, OR
  • NPI 1144090119
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327968000000",
    "number": "1851616692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016051",
            "telephone_number": "541-382-2811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E CASCADE AVE",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "977591140",
            "telephone_number": "541-549-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND MEMORIAL CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2012-01-31",
        "status": "A",
        "authorized_official_last_name": "HAGFORS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-706-5401"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213243",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Basecamp Advocacy, LLC Dba: Basecamp Advocacy & Autism Services
• Betty J Beaumont, LPC
• Lena Becker-Blease
• Alexa M Becker, PT
• Benchmark Physical Therapy of Or, LLC
• Bend Physical Therapy Associates (TAI - Central Oregon Sisters Physical Therapy)
• Marjean Gutzman Bigelow, MASTERSSTUDENTINTERN
• Kris M Blodgett, DMD
• Courtney Boyd
• Bradlley Allan Braman, DMD

• Family Medicine Physician in Sisters, OR
• Providers in Sisters, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.