- Practice location
- 2200 NE Professional CT, Bend, OR 97701-6063
- Phone
- 541-389-6313
- Fax
- 541-389-8760
- Last updated
- April 9, 2009
Stacy C. Berube is a Pediatrics based in Bend, OR. Stacy C. Berube practices in Bend, OR and has the professional credentials of MD. The NPI Number for Stacy C. Berube is 1073599452 and holds a License No. MD11490 (OR). The current practice location address for Stacy C. Berube is 2200 NE Professional CT, Bend, OR 97701-6063 and can be reached out via phone at 541-389-6313 and via fax at 541-389-8760.
Provider Profile Details
- NPI Number
- 1073599452
- Provider Name
- Stacy C. Berube
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2200 NE Professional CT, Bend, OR 97701-6063
- Phone Number
- 541-389-6313
- Fax Number
- 541-389-8760
- Primary Taxonomy
- Pediatrics · 208000000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 19, 2005
- Last Update Date
- April 9, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2200 NE Professional CT
Bend, OR 97701-6063 - City
- Bend
- State
- Oregon
- Zip
- 97701-6063
- Phone Number
- 541-389-6313
- Fax Number
- 541-389-8760
Provider Business Mailing Address Details
- Address
- 2200 NE Professional CT.
Bend, OR 97701 - City
- Bend
- State
- OR
- Zip
- 97701
- Phone Number
- 541-389-6313
- Fax Number
- 541-389-8760
License Information
- License Number
- MD11490
- License State
- OR
- Taxonomy
- Pediatrics · 208000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Stacy C Berube, MD?
The NPI number of Mr. Stacy C Berube, MD is 1073599452. It was assigned on December 19, 2005 and is currently active in the NPPES registry.
What is the specialty of Mr. Stacy C Berube, MD?
Mr. Stacy C Berube, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in OR under license number MD11490.
Where does Mr. Stacy C Berube, MD practice?
The practice location is 2200 NE Professional CT, Bend, OR 97701-6063. The office can be reached at 541-389-6313 (phone) or 541-389-8760 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073599452 directly on the NPPES registry website.