Bend Kids Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO150927 Issued in OR

Legal business name

BEND KIDS PEDIATRICS, LLC

Practice address

2748 NW Crossing Dr Ste 140
Bend, OR 97703-7179

Phone

(541) 213-5045

NPI assigned

Sep 28, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Brooke Warton, DONPI 1588858351

Title

Member

Phone

(541) 213-5045

Specialties & licenses 1

Addresses

Other names 1

• Bend Kids Personal Pediatrics Other name

Locations

Practitioners 1

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.

• Jennifer Brooke Warton, DO

  • Pediatrics Physician
  • Bend, OR
  • NPI 1588858351
  NPD (past) Authorized official

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1962911347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2748 NW CROSSING DR STE 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037179",
            "telephone_number": "541-213-5045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2748 NW CROSSING DR STE 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977037179",
            "telephone_number": "541-213-5045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEND KIDS PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WARTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-213-5045",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "DO150927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bend Kids Personal Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.