NPIMap

Organization Active NPI

Southern Oregon Neurosurgical & Spine Associates, PC

  • Neurological Surgery Physician
  • Medford, OR
National Provider Identifier
1912288671
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
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
Last updated
Jun 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

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
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X Primary

Addresses

Primary practice location

3270 Hillcrest Raod
Medford, OR 97504

Mailing address

3270 Hillcrest Raod
Medford, OR 97504-8475
Phone (541) 779-1672

Other practice location 1

2900 State St
Medford, OR 97504-8475
Phone (541) 779-1672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120209000137 OR Part B Supplier - Clinic/Group Practice 8022275684 Receives reassigned benefits from 23 practitioners
Practice locations: Brookings, OR; Grants Pass, OR; Medford, OR

National Provider Directory

National Provider Directory

Locations

3270 Hillcrest Park Dr
Medford, OR 97504

3270 Hillcrest Rd
Medford, OR 97504
Phone (541) 779-1672

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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": []
}

Other providers in Medford, OR

Sources for this page

  • 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.