- Practice location
- 1239 NE Medical Center Dr Ste 240, Bend, OR 97701-7359
- Phone
- 541-749-2822
- Fax
- 541-749-2283
- Last updated
- December 5, 2023
Bend Plastic & Reconstructive Surgery, P.c. is a healthcare organization based in Bend, OR. Bend Plastic & Reconstructive Surgery, P.c. practices in Bend, OR. The NPI Number for Bend Plastic & Reconstructive Surgery, P.c. is 1447610803 and holds a License No. MD26066 (OR). The current practice location address for Bend Plastic & Reconstructive Surgery, P.c. is 1239 NE Medical Center Dr Ste 240, Bend, OR 97701-7359 and can be reached out via phone at 541-749-2822 and via fax at 541-749-2283.
Provider Profile Details
- NPI Number
- 1447610803
- Provider Name
- Bend Plastic & Reconstructive Surgery, P.c.
- Provider Entity Type
- Organization
- Address
- 1239 NE Medical Center Dr Ste 240, Bend, OR 97701-7359
- Phone Number
- 541-749-2822
- Fax Number
- 541-749-2283
- Primary Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X
- Organization Subpart
- No
- Authorized Official
- Adam P Angeles, MD · Authorized Official · 541-784-7848
- Provider Enumeration Date
- February 28, 2016
- Last Update Date
- December 5, 2023
- Certification Date
- December 5, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1239 NE Medical Center Dr Ste 240
Bend, OR 97701-7359 - City
- Bend
- State
- Oregon
- Zip
- 97701-7359
- Phone Number
- 541-749-2822
- Fax Number
- 541-749-2283
Provider Business Mailing Address Details
- Address
- 1239 NE Medical Center Dr Ste 240
Bend, OR 97701-7359 - City
- Bend
- State
- OR
- Zip
- 97701-7359
- Phone Number
- 541-749-2822
- Fax Number
- 541-749-2283
License Information
- License Number
- MD26066
- License State
- OR
- Taxonomy
- Surgery, Plastic and Reconstructive Surgery · 2086S0122X · 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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- Jourdan A Carboy, MDSurgery, Plastic and Reconstructive Surgery · NPI 1174027783
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Frequently Asked Questions
What is the NPI number of Bend Plastic & Reconstructive Surgery, P.c.?
The NPI number of Bend Plastic & Reconstructive Surgery, P.c. is 1447610803. It was assigned on February 28, 2016 and is currently active in the NPPES registry.
What is the specialty of Bend Plastic & Reconstructive Surgery, P.c.?
Bend Plastic & Reconstructive Surgery, P.c. is registered under the primary taxonomy Surgery, Plastic and Reconstructive Surgery (code 2086S0122X), licensed in OR under license number MD26066.
Where does Bend Plastic & Reconstructive Surgery, P.c. practice?
The practice location is 1239 NE Medical Center Dr Ste 240, Bend, OR 97701-7359. The office can be reached at 541-749-2822 (phone) or 541-749-2283 (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 1447610803 directly on the NPPES registry website.