Donald Robert Anderson, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD29374 Issued in OR

Practice address

2115 NE Wyatt CT Ste 201
Bend, OR 97701-7680

Phone

(541) 647-5200

Fax

(541) 389-5459

NPI assigned

Oct 13, 2005

Last updated

Mar 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1922097807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NE WYATT CT STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017680",
            "telephone_number": "541-647-5200",
            "fax_number": "541-389-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NE WYATT CT STE 201",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017680",
            "telephone_number": "541-647-5200",
            "fax_number": "541-389-5459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "DONALD",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A81871",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD29374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miah Andersen
• Amy Michelle Anderson
• Bryon Anderson
• Carol J Anderson, LPC
• Daniel Anderson, M.A, LPC INTERN
• Emma Susann Anderson, LCSW
• Erica Anderson
• Erika Anderson, MD
• Fe Louisa Anderson, RN
• Jason Duane Anderson, QMHA-R

• Psychiatry Physician in Bend, OR
• Providers in Bend, OR by specialty
• Psychiatry Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.