- Practice location
- 2200 NE Neff RD, Bend, OR 97701-4283
- Phone
- 541-382-3344
- Fax
- 541-382-1681
- Last updated
- March 4, 2025
Timothy S Bollom is an Orthopaedic Surgery, Sports Medicine based in Bend, OR. Timothy S Bollom practices in Bend, OR and has the professional credentials of MD. The NPI Number for Timothy S Bollom is 1639179930 and holds a License No. MD25128 (OR). The current practice location address for Timothy S Bollom is 2200 NE Neff RD, Bend, OR 97701-4283 and can be reached out via phone at 541-382-3344 and via fax at 541-382-1681.
Provider Profile Details
- NPI Number
- 1639179930
- Provider Name
- Timothy S Bollom
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2200 NE Neff RD, Bend, OR 97701-4283
- Phone Number
- 541-382-3344
- Fax Number
- 541-382-1681
- Primary Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 28, 2005
- Last Update Date
- March 4, 2025
- Certification Date
- March 4, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2200 NE Neff RD
Bend, OR 97701-4283 - City
- Bend
- State
- Oregon
- Zip
- 97701-4283
- Phone Number
- 541-382-3344
- Fax Number
- 541-382-1681
Provider Business Mailing Address Details
- Address
- 2200 NE Neff RD
Ste 200
Bend, OR 97701-4283 - City
- Bend
- State
- OR
- Zip
- 97701-4283
- Phone Number
- 541-382-3344
- Fax Number
- 541-382-1681
License Information
- License Number
- MD25128
- License State
- OR
- Taxonomy
- Orthopaedic Surgery, Sports Medicine · 207XX0005X · 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 Timothy S Bollom, MD?
The NPI number of Timothy S Bollom, MD is 1639179930. It was assigned on July 28, 2005 and is currently active in the NPPES registry.
What is the specialty of Timothy S Bollom, MD?
Timothy S Bollom, MD is registered under the primary taxonomy Orthopaedic Surgery, Sports Medicine (code 207XX0005X), licensed in OR under license number MD25128.
Where does Timothy S Bollom, MD practice?
The practice location is 2200 NE Neff RD, Bend, OR 97701-4283. The office can be reached at 541-382-3344 (phone) or 541-382-1681 (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 1639179930 directly on the NPPES registry website.