Timothy S Bollom is a Sports Medicine in Bend, Oregon. Timothy S Bollom practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Timothy S Bollom is 1639179930. The last update date is 2022-05-09.
Timothy S Bollom's current location address is 2200 Ne Neff Rd, Bend, Oregon. You can contact this provider via phone number 5413823344 and fax number 5413821681. The mailing address for Timothy S Bollom is 2200 Ne Neff Rd, Bend, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy S Bollom |
|---|---|
| Address | 2200 Ne Neff Rd, Bend, Oregon |
| Phone Number | 5413823344 |
| Fax Number | 5413821681 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1639179930 |
|---|---|
| Provider Enumeration Date | 2005-07-28 |
| Last Updated Date | 2022-05-09 |
Provider Mailing Address Detail
| Address | 2200 Ne Neff Rd |
|---|---|
| City | Bend |
| State | Oregon (OR) |
| Post Code | 977014283 |
| Phone Number | 5413823344 |
| Fax Number | 5413821681 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | MD25128 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD25128 | OR | OBME | |
| 233192 | OR | -- |
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What is the unique 10-digit identification code issued to Timothy S Bollom by the Centers for Medicare & Medicaid Services?
The Timothy S Bollom has been assigned the NPI (National Provider Identifier) 1639179930 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Timothy S Bollom's facilities are geographically located?
The facilities of Timothy S Bollom are physically situated at the following location: 2200 Ne Neff Rd, Bend, OR, 977014283.
What is the Timothy S Bollom's area of specialization and corresponding taxonomy classification?
The Timothy S Bollom's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.
When was the Timothy S Bollom's 1639179930 issued?
The Timothy S Bollom's 1639179930 was issued on 2005-07-28.
When was the information related to Timothy S Bollom most recently updated or refreshed?
The details pertaining to the Timothy S Bollom, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-05-09.
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