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Contact Information

HIGH DESERT SPORTS AND SPINE, LLC
1140 SW SIMPSON AVE STE 100
BEND, OR97702-3789
 Phone: 541-388-2333
 Fax: 541-388-0930
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Emergency Medical Services

207PE0004X 93 Physician/Emergency Medicine
 

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for HIGH DESERT SPORTS AND SPINE, LLC

NPI Number 1073376695
LBN Legal business name HIGH DESERT SPORTS AND SPINE, LLC
Authorized official EDWARD KENT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2024
Last updated 01/28/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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