Active NPIIndividual provider

Audra J Burdulis, PA-C

Physician Assistant, Medical in Bend, Oregon

NPI Number1124075205
Practice location
108 NW Sisemore St Ste 120, Bend, OR 97703-2869
Fax
—
Last updated
March 20, 2026

Audra J Burdulis, PA-C is a Physician Assistant, Medical based in Bend, OR. Audra J Burdulis, PA-C holds the professional credentials of PA-C. The NPI number for Audra J Burdulis, PA-C is 1124075205 and holds license No. PA10004625 (WA). The current practice location address is 108 NW Sisemore St Ste 120, Bend, OR 97703-2869 and the office can be reached by phone at 541-213-2133. The NPI was assigned on May 26, 2006 and the record was last updated in NPPES on March 20, 2026.

●Provider Profile Details

NPI Number
1124075205
Provider Name
Audra Jo Burdulis
Credential
PA-C
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
No
Enumeration Date
May 26, 2006
Last Update Date
March 20, 2026
Certification Date
March 20, 2026
NPI Status
Active
Other Names
Audra Jo Estes, PA-C (Former Name)

◉Business Practice Location Address

Address
108 NW Sisemore St Ste 120
Bend, OR 97703-2869
City
Bend
State
Oregon
ZIP
97703-2869
Country
US
Phone Number
541-213-2133

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✉Business Mailing Address

Address
600 Jefferson St Ste 600
Lafayette, LA 70501-6987
City
Lafayette
State
LA
ZIP
70501-6987
Phone Number
337-202-0720

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Physician Assistant, Medical363AM0700XNoPA10004625WA
Physician Assistant, Medical363AM0700XYesPA228080OR

#Other Provider Identifiers

No legacy or other 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 Audra J Burdulis, PA-C?

The NPI number of Audra J Burdulis, PA-C is 1124075205. It was assigned on May 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Audra J Burdulis, PA-C?

Audra J Burdulis, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X) and holds license No. PA10004625 (WA).

Where does Audra J Burdulis, PA-C practice?

The practice location is 108 NW Sisemore St Ste 120, Bend, OR 97703-2869. The office can be reached at 541-213-2133 (phone).

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 1124075205 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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