NPIMap

Organization Active NPI

BDGR Surgical Assisting

  • Physician Assistant
  • Bend, OR
National Provider Identifier
1881960979
Registry record updated Mar 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
LL14731 Issued in OR
Legal business name
BDGR SURGICAL ASSISTING
Practice address
3005 NE Roxy PL
Bend, OR 97701-3858
Phone
(541) 771-2318
NPI assigned
Mar 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2012

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

Authorized official

Name
Lisa Parker, PANPI 1396729349
Title
Owner
Phone
(541) 771-2318

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X LL14731 OR Primary

Addresses

Primary practice location

3005 NE Roxy PL
Bend, OR 97701-3858

Mailing address

3005 NE Roxy PL
Bend, OR 97701-3858
Phone (541) 771-2318

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332374400000",
    "number": "1881960979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 NE ROXY PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013858",
            "telephone_number": "541-771-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 NE ROXY PL",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013858",
            "telephone_number": "541-771-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BDGR SURGICAL ASSISTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-771-2318",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "LL14731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.