BRYAN WILHELM (NPI# 1427060565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427060565 |
| Entity Type | Individual |
| Full Name | BRYAN WILHELM |
| Credential | DPM |
| Practice Address |
1510 Sw Nancy Way Ste 2 Bend OR 97702-3256 |
| Practice Telephone | 5413857129 |
| Practice Fax Number | 5413857138 |
| Mailing Telephone | 5413857129 |
| Mailing Fax Number | 5413857138 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | DP00214 | OR | Podiatric Medicine & Surgery Service Providers |
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
DP00214 | OR | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | BLUE CROSS | 865318004 | 01 |
| OR | 014352 | 05 | |
| OR | TAX ID | 20-2456582 | 01 |
| Street Address |
1510 SW NANCY WAY STE 2 |
| City | BEND |
| State | OR |
| Zip Code | 97702-3256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477537710 | Frank Robert Cobarrubia | Podiatrist | 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | 2005-11-30 |
| 1275545311 | Northwest Footcare, LLC | Podiatrist | 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | 2006-08-13 |
| 1396757431 | Tajyant Nat Chotechuang | Podiatrist | 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699928168 | Kristy R Six | Podiatrist | 400 Sw Bluff Dr Ste 220, Bend, OR 97702-1697 | 2008-10-28 |
| 1063630929 | Amanda K Westfall | Podiatrist | 400swbluff Dr 220, Bend, OR 97702-1697 | 2007-04-23 |
| 1316959455 | Laura Schweger Savage | Podiatrist | 1506 Ne Williamson Blvd, Bend, OR 97701-6071 | 2006-08-13 |
| 1619951456 | Patrick J Evoy | Podiatrist | 2408 Ne Division St, Bend, OR 97701-3543 | 2005-12-05 |
| 1477537710 | Frank Robert Cobarrubia | Podiatrist | 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | 2005-11-30 |
| 1497831960 | Laura A. Schweger Dpm, PC | Podiatrist | 1506 Ne Williamson Blvd, Bend, OR 97701-6071 | 2006-10-27 |
| 1609972439 | Dean T Nakadate | Podiatrist | 929 Sw Simpson Ave, Suite 220, Bend, OR 97702-3599 | 2006-09-16 |
| 1396757431 | Tajyant Nat Chotechuang | Podiatrist | 1510 Sw Nancy Way Ste 2, Bend, OR 97702-3256 | 2006-08-13 |
| 1588649297 | Ambrose K Su | Podiatrist | 2408 Ne Division St, Bend, OR 97701-3543 | 2005-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154869659 | Mid-columbia Medical Center | Podiatrist | 33 Nichols Pkwy, Hood River, OR 97031-3121 | 2017-02-03 |
| 1033560867 | John M Barnes Dpm LLC | Podiatrist | 9615 Nw Randall Ln, Portland, OR 97229-5294 | 2016-06-22 |
| 1619338829 | Cara Beach | Podiatrist | 9900 Sw Hall Blvd Ste 100, Portland, OR 97223-5838 | 2016-03-15 |
| 1265743090 | Nanjin Jasmine Park | Podiatrist | 5311 Sw Baird St, Portland, OR 97219-5023 | 2010-06-26 |
| 1689991804 | Cassandra Bree Tomczak | Podiatrist | 19250 Sw 65th Ave Ste 200, Tualatin, OR 97062 | 2010-04-27 |
| 1326363839 | Kessa Mauras | Podiatrist | 1100 E. Marina Way, Suite 223, Hood River, OR 97031 | 2010-03-29 |
| 1598907537 | Joshua Johnson Boone | Podiatrist | 551 Lone Prine Blvd, The Dalles, OR 97058 | 2009-04-06 |
| 1306093265 | Gilbert Alan Hice | Podiatrist | 953 Foots Creek Road, Gold Hill, OR 97525 | 2008-08-22 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| 1114199361 | John T. Callahan, Dpm | Podiatrist | 2235 Mission St Se Ste 150, Salem, OR 97302-1294 | 2008-03-27 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.