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Contact Information

JACK E BERNDT, MD
1715 SW CHANDLER AVE
BEND, OR97702-3615
 Phone: 541-588-5620
 Fax: 888-625-0286
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JACK E BERNDT · (Male)

NPI Number 1467408682
Status Active
Credentials MD
Entity Individual
Enumeration date 05/26/2006
Last updated 05/18/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD25340
  • OR Medicaid 022708
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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