OrganizationActive
Ponderosa Medical
NPI 1710931274 · Internal Medicine Physician · Bend, OR
Ponderosa Medical is a Internal Medicine Physician organization in Bend, OR (NPI 1710931274).
Provider details
- NPI number
- 1710931274
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gilbert Lee, Physician(541) 312-8679
- License
- MD12002 (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
1558 Sw Nancy Way
Suite 101
Bend, OR 97702-3216
Phone: (541) 312-8679
Street-level locationGet directions
Mailing address
1558 Sw Nancy Way
Bend, OR 97702-3216
Registry dates
- Enumerated
- 2006-05-20
- Last updated
- 2020-08-22
Frequently asked questions
- What is Ponderosa Medical's NPI number?
- Ponderosa Medical's National Provider Identifier (NPI) is 1710931274, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ponderosa Medical?
- Ponderosa Medical is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ponderosa Medical located?
- Ponderosa Medical's practice location on file with NPPES is 1558 Sw Nancy Way, Bend, OR 97702-3216.
- What is Ponderosa Medical's phone number?
- The practice phone number listed in the NPPES registry for Ponderosa Medical is (541) 312-8679.
- Who is the authorized official for Ponderosa Medical?
- The authorized official listed on Ponderosa Medical's NPPES record is Gilbert Lee, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ponderosa Medical's NPI active?
- Yes — Ponderosa Medical's NPI (1710931274) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.