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Dr. Blake A Nonweiler, MD

Orthopaedic Surgery, Sports Medicine in Bend, OR. Individual provider (NPI-1).

NPI number1912923152
StatusActive
Last updated in NPPESJan 23, 2020

Details

NPI
1912923152
Entity type
Individual (NPI-1)
Name
Dr. Blake A Nonweiler
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 14, 2006
Certification date
Jan 23, 2020
Last updated
Jan 23, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - ORTHOPEDIC SURGERY
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports MedicineMD19775ORYes

Practice location

2200 Ne Neff Rd Ste 200
Bend, OR 97701-4281

Phone 541-382-3344 · Fax 541-322-2286

Mailing address

1650 Nw Naito Pkwy
Ste 185
Portland, OR 97209-2535

Phone 503-525-7690 · Fax 503-525-7652

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Sports Medicine (Orthopaedic Surgery) Physician providers in Bend, OR

All 8 Sports Medicine (Orthopaedic Surgery) Physician providers in Bend · All 6,654 providers in Bend

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