IndividualActive
Timothy Bollom, MD
NPI 1639179930 · Sports Medicine (Orthopaedic Surgery) Physician · Bend, OR
Provider details
- NPI number
- 1639179930
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD25128 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2200 Ne Neff Rd
Bend, OR 97701-4283
Phone: (541) 382-3344
Fax: (541) 382-1681
Approximate (ZIP-level) locationGet directions
Mailing address
2200 Ne Neff Rd
Bend, OR 97701-4283
Additional practice locations (1)
- 2200 Ne Neff RdSte 200Bend, OR 97701-4283Phone: (541) 382-3344Fax: (541) 382-1681
Registry dates
- Enumerated
- 2005-07-28
- Last updated
- 2025-03-04
- Certified
- 2025-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.