Southern Oregon Neurosurgical & Spine Associates, PC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

SOUTHERN OREGON NEUROSURGICAL & SPINE ASSOCIATES, PC

Practice address

3270 Hillcrest Raod
Medford, OR 97504

Phone

(541) 779-1672

NPI assigned

Sep 7, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Miroslav Bobek, MDNPI 1881693133

Title

Physician

Phone

(541) 779-1672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 25

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

• Miroslav Patrick Bobek, M.D.

  • Neurological Surgery Physician
  • Medford, OR
  • NPI 1881693133
  Medicare reassignment Care Compare group NPD Authorized official
• Jared Brougham, MD

  • Neurological Surgery Physician
  • Medford, OR
  • NPI 1124482815
  Medicare reassignment Care Compare group NPD
• Kaitlin Eileen Stapleton, FNP

  • Nurse Practitioner
  • Medford, OR
  • NPI 1033636279
  Medicare reassignment Care Compare group NPD
• Timothy David Uschold, MD

  • Neurological Surgery Physician
  • Medford, OR
  • NPI 1760662720
  Medicare reassignment Care Compare group NPD
• Kathryn Wagner, MD

  • Neurological Surgery Physician
  • Portland, OR
  • NPI 1366860009
  Medicare reassignment Care Compare group NPD
• David Howard Walker, MD

  • Neurological Surgery Physician
  • Medford, OR
  • NPI 1063414803
  Medicare reassignment Care Compare group NPD
• Alexandra Wilson, MPAS, PA-C

  • Physician Assistant
  • Medford, OR
  • NPI 1588298103
  Medicare reassignment Care Compare group NPD
• Brett Dalton Klezmer, PA-C

  • Surgical Physician Assistant
  • Medford, OR
  • NPI 1336034438
  Medicare reassignment Care Compare group
• Lilly Katherine McGonegal, PA

  • Surgical Physician Assistant
  • Medford, OR
  • NPI 1255153045
  Medicare reassignment Care Compare group
• Anna L Uschold, PA

  • Physician Assistant
  • Medford, OR
  • NPI 1568672715
  Medicare reassignment Care Compare group
• Doreen Yang, PA-C

  • Surgical Physician Assistant
  • Medford, OR
  • NPI 1194400945
  Medicare reassignment Care Compare group
• Brent Jerrod Bose, MD

  • Vascular & Interventional Radiology Physician
  • Medford, OR
  • NPI 1841435047
  Medicare reassignment NPD

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1912288671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 HILLCREST RAOD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048475",
            "telephone_number": "541-779-1672",
            "fax_number": "541-779-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 HILLCREST RAOD",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-779-1672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2900 State St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048475",
            "country_code": "US",
            "telephone_number": "541-779-1672",
            "fax_number": "541-779-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN OREGON NEUROSURGICAL & SPINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2025-06-17",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "BOBEK",
        "authorized_official_first_name": "MIROSLAV",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "541-779-1672",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southern Oregon Internal Medicine
• Southern Oregon Medical Clinic LLC
• Southern Oregon Mental Health Services, LLC
• Southern Oregon Neurology PC
• Southern Oregon Neuropsychological Clinic LLC
• Southern Oregon Nutrition & Diabetes Training Center
• Southern Oregon Oral and Maxillofacial Surgeons
• Southern Oregon Orthopedics Inc
• Southern Oregon Pediatrics, LLP
• Southern Oregon Periodontics, PC

• Neurological Surgery Physician in Medford, OR
• Providers in Medford, OR by specialty
• Neurological Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.