- Practice location
- 1715 SW Chandler Ave, Bend, OR 97702-3615
- Phone
- 541-588-5620
- Fax
- 888-625-0286
- Last updated
- September 2, 2026
Jack E Berndt is a Healthcare Provider based in Bend, OR. Jack E Berndt practices in Bend, OR and has the professional credentials of MD. The NPI Number for Jack E Berndt is 1467408682 and holds a License No. MD25340 (OR). The current practice location address for Jack E Berndt is 1715 SW Chandler Ave, Bend, OR 97702-3615 and can be reached out via phone at 541-588-5620 and via fax at 888-625-0286.
Provider Profile Details
- NPI Number
- 1467408682
- Provider Name
- Jack E Berndt
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1715 SW Chandler Ave, Bend, OR 97702-3615
- Phone Number
- 541-588-5620
- Fax Number
- 888-625-0286
- Primary Taxonomy
- Healthcare Provider · 208VP0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 26, 2006
- Last Update Date
- September 2, 2026
- Certification Date
- September 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1715 SW Chandler Ave
Bend, OR 97702-3615 - City
- Bend
- State
- Oregon
- Zip
- 97702-3615
- Phone Number
- 541-588-5620
- Fax Number
- 888-625-0286
Provider Business Mailing Address Details
- Address
- 1715 SW Chandler Ave
Bend, OR 97702-3615 - City
- Bend
- State
- OR
- Zip
- 97702-3615
- Phone Number
- 541-588-5620
- Fax Number
- 888-625-0286
License Information
- License Number (1)
- MD25340
- License State (1)
- OR
- License Number (2)
- 2026010959
- License State (2)
- MO
- Taxonomy (2)
- Specialist · 174400000X
- License Number (3)
- 2026010959
- License State (3)
- MO
- Taxonomy (3)
- Family Medicine · 207Q00000X
- License Number (4)
- MD25340
- License State (4)
- OR
- Taxonomy (4)
- Specialist · 174400000X
- License Number (5)
- 2026010959
- License State (5)
- MO
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 Jack E Berndt, MD?
The NPI number of Jack E Berndt, MD is 1467408682. It was assigned on May 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Jack E Berndt, MD?
Jack E Berndt, MD is registered under the primary taxonomy Healthcare Provider (code 208VP0000X), licensed in OR under license number MD25340.
Where does Jack E Berndt, MD practice?
The practice location is 1715 SW Chandler Ave, Bend, OR 97702-3615. The office can be reached at 541-588-5620 (phone) or 888-625-0286 (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 1467408682 directly on the NPPES registry website.