Bryon Anderson
Individual provider Active NPI Surgical Physician Assistant · Bend, OR
NPI 1861297764 · NPPES record last updated Oct 1, 2025
Key facts
- NPI
- 1861297764
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgical Physician Assistant 363AS0400X
- License
- PA217115 (OR)
- Practice address
- 2200 NE Neff Rd Ste 200
Bend, OR 97701-4281 - Phone
- (541) 382-3344
- NPI assigned
- Feb 14, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Indiana University School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Charles Health System Inc
Practice addresses (Care Compare)
211 NW Larch Ave
Family Care
Redmond, OR 97756-1357
Phone (541) 548-2164
2500 NE Neff Rd
Bend, OR 97701-6015
Hospital & facility affiliations
- St Charles Medical Center - Bend
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: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250903002962 | OR | Practitioner - Physician Assistant | 1759883481 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Current |
Accepting new patients | |
| St. Charles Health System, Inc. | Past | Accepting new patients |
Locations
29358 Network Pl
Chicago, IL 60673
2200 NE Neff Rd
Bend, OR 97701
Phone (541) 322-2323
2200 NE Neff Rd
Ste 200
Bend, OR 97701
Phone (541) 322-2331
384 SE Combs Flat Rd
Prineville, OR 97754
Phone (541) 383-3668
211 NW Larch Ave
Redmond, OR 97756
Phone (541) 548-2164
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA217115 | OR | Yes |
Addresses
Primary practice location
2200 NE Neff Rd Ste 200
Bend, OR 97701-4281
Mailing address
PO Box 71781
Springfield, OR 97475-0215
Other practice location 1
3377 Riverbend Dr Fl 5
Springfield, OR 97477-8803
Phone (541) 686-8353
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | banderson219936@secure.stcharleshealthcare.org |
Other providers in Bend, OR
- Tracy Anderman
- Matthew Andermann
- Amy M Andersen
- Miah Andersen
- Amy Michelle Anderson
- Carol J Anderson
- Daniel Anderson
- Donald Robert Anderson
- Emma Susann Anderson
- Erica Anderson
All providers in Bend, OR · Surgical Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.