James D Bauer, M.D.
Individual provider Active NPI Obstetrics & Gynecology Physician · Redmond, OR
NPI 1972545127 · NPPES record last updated Jan 26, 2016
Key facts
- NPI
- 1972545127
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- MD17396 (OR)
- Practice address
- 340 NW 5TH St
Suite 101
Redmond, OR 97756-1869 - Phone
- (541) 526-6635
- Fax
- (541) 526-6636
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1452 | SD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD17396 | OR | Yes |
Addresses
Primary practice location
340 NW 5TH St
Suite 101
Redmond, OR 97756-1869
Mailing address
PO Box 5579
Bend, OR 97708-5579
Phone (541) 526-6635
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD17396 | Other | OR | STATE LICENSE |
| P00247375 | Other | OR | RR MEDICARE |
Other providers in Redmond, OR
- Ernesto Banuelos
- Erin Murphy Bartlett
- Mackenzie Bartz
- Sue Bassett
- Timothy Ryan Batterson
- Timothy Michael Baumgarte
- Tracy Brenda Bayne
- BD Redmond I, LLC
- BD Redmond IV LLC
- John D Beals
All providers in Redmond, OR · Obstetrics & Gynecology Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.