IndividualActive
Stacy Berube, MD
NPI 1073599452 · Pediatrics Physician · Bend, OR
Stacy Berube, MD is a Pediatrics Physician provider in Bend, OR (NPI 1073599452).
Provider details
- NPI number
- 1073599452
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD11490 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2200 Ne Professional Ct
Bend, OR 97701-6063
Phone: (541) 389-6313
Fax: (541) 389-8760
Street-level locationGet directions
Mailing address
2200 Ne Professional Ct.
Bend, OR 97701
Registry dates
- Enumerated
- 2005-12-19
- Last updated
- 2009-04-09
Frequently asked questions
- What is Stacy Berube's NPI number?
- Stacy Berube's National Provider Identifier (NPI) is 1073599452, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Berube's specialty?
- Stacy Berube is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Stacy Berube located?
- Stacy Berube's practice location on file with NPPES is 2200 Ne Professional Ct, Bend, OR 97701-6063.
- What is Stacy Berube's phone number?
- The practice phone number listed in the NPPES registry for Stacy Berube is (541) 389-6313.
- Is Stacy Berube's NPI active?
- Yes — Stacy Berube's NPI (1073599452) is active in the NPPES registry as of the last update on 2009-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.