OrganizationActive
High Desert Sports and Spine, LLC
NPI 1073376695 · Pain Medicine (Anesthesiology) Physician · Bend, OR
Provider details
- NPI number
- 1073376695
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Kent, Owner(208) 500-8667
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Suppliers
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1140 Sw Simpson Ave Ste 100
Bend, OR 97702-3789
Phone: (541) 388-2333
Fax: (541) 388-0930
Approximate (ZIP-level) locationGet directions
Mailing address
1140 Sw Simpson Ave Ste 100
Bend, OR 97702-3789
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2026-01-28
- Certified
- 2026-01-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.