Active NPIIndividual provider

Ryan E Berecky, MD

Radiology, Diagnostic Radiology in Bend, Oregon

NPI Number1104026772
Practice location
1460 NE Medical Center Dr, Bend, OR 97701-6061
Fax
541-382-2719
Last updated
March 2, 2023

Ryan E Berecky is a Radiology, Diagnostic Radiology based in Bend, OR. Ryan E Berecky practices in Bend, OR and has the professional credentials of MD. The NPI Number for Ryan E Berecky is 1104026772 and holds a License No. MD156397 (OR). The current practice location address for Ryan E Berecky is 1460 NE Medical Center Dr, Bend, OR 97701-6061 and can be reached out via phone at 541-382-6633 and via fax at 541-382-2719.

Provider Profile Details

NPI Number
1104026772
Provider Name
Ryan E Berecky
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1460 NE Medical Center Dr, Bend, OR 97701-6061
Phone Number
541-382-6633
Fax Number
541-382-2719
Primary Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X
Sole Proprietor
No
Provider Enumeration Date
July 23, 2007
Last Update Date
March 2, 2023
Certification Date
March 2, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1460 NE Medical Center Dr
Bend, OR 97701-6061
City
Bend
State
Oregon
Zip
97701-6061
Phone Number
541-382-6633
Fax Number
541-382-2719
Bend, OR 97701Get directions →

Provider Business Mailing Address Details

Address
1460 NE Medical Center Dr
Bend, OR 97701-6061
City
Bend
State
OR
Zip
97701-6061
Phone Number
541-382-6633
Fax Number
541-382-2719

License Information

License Number
MD156397
License State
OR
Taxonomy
Radiology, Diagnostic Radiology · 2085R0202X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Ryan E Berecky, MD?

The NPI number of Ryan E Berecky, MD is 1104026772. It was assigned on July 23, 2007 and is currently active in the NPPES registry.

What is the specialty of Ryan E Berecky, MD?

Ryan E Berecky, MD is registered under the primary taxonomy Radiology, Diagnostic Radiology (code 2085R0202X), licensed in OR under license number MD156397.

Where does Ryan E Berecky, MD practice?

The practice location is 1460 NE Medical Center Dr, Bend, OR 97701-6061. The office can be reached at 541-382-6633 (phone) or 541-382-2719 (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 1104026772 directly on the NPPES registry website.

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