Active NPI
Creekside Family Medicine, LLC
- Primary Care Clinic/Center
- Medford, OR
National Provider Identifier
1992922595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CREEKSIDE FAMILY MEDICINE, LLC
- Practice address
- 749 Golf View Dr Unit a
Medford, OR 97504-9654 - Phone
- (541) 282-6580
- Fax
- (541) 326-0361
- NPI assigned
- Apr 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Marie Bond
- Title
- Office Manager
- Phone
- (541) 282-6580
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
749 Golf View Dr Unit a
Medford, OR 97504-9654
Mailing address
749 Golf View Dr Unit a
Medford, OR 97504-9654
Phone (541) 282-6580
Other names 1
- CREEKSIDE FAMILY MEDICINE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 2
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
2859 State St
Ste 103
Medford, OR 97504
Phone (541) 282-6580
749 Golf View Dr
Unit A
Medford, OR 97504
Phone (503) 729-2230
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Medford, OR
- NPI 1356362008
-
- Retina Specialist (Ophthalmology) Physician
- St George, UT
- NPI 1093943086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1992922595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "749 GOLF VIEW DR UNIT A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049654",
"telephone_number": "541-282-6580",
"fax_number": "541-326-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "749 GOLF VIEW DR UNIT A",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975049654",
"telephone_number": "541-282-6580",
"fax_number": "541-326-0361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CREEKSIDE FAMILY MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-18",
"last_updated": "2025-09-02",
"certification_date": "2025-02-10",
"status": "A",
"authorized_official_last_name": "BOND",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "541-282-6580"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "CREEKSIDE FAMILY MEDICINE",
"code": "3",
"type": "Doing Business As"
}
]
}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 Sep 2, 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.