DR. BRYCE BEDERKA (NPI# 1831215987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831215987 |
| Entity Type | Individual |
| Full Name | DR. BRYCE BEDERKA |
| Credential | M.D. |
| Practice Address |
501 N Graham St Ste 200 Legacy Bone and Joint Portland OR 97227-2000 |
| Practice Telephone | 5034132492 |
| Practice Fax Number | 5034131812 |
| Mailing Telephone | 5034132492 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
MD27276 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
501 N GRAHAM ST STE 200 LEGACY BONE AND JOINT |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-2000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437269974 | Hamilton S Gillespie | Internal Medicine | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2006-08-30 |
| 1861944340 | Elizabeth Anne Blyman Archer | Nurse Practitioner | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2016-10-31 |
| 1649605684 | Jillian Bianchi | Physician Assistant | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2013-09-10 |
| 1568616928 | Stephen Jeremy Lenssen | Physician Assistant | 501 N Graham St Ste 200, Portland, OR 97227-2000 | 2008-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| 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, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093818163 | Carol Pelmas | Orthopaedic Surgery | 9427 Sw Barnes Rd, Portland, OR 97225-6652 | 2006-09-06 |
| 1134198914 | Patrick L Hanley | Orthopaedic Surgery | 10000 Se Main St, Suite 327, Portland, OR 97216-2448 | 2006-03-15 |
| 1962484824 | Anthony I Colorito | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2005-11-16 |
| 1659353514 | Michael S Baskin | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2005-11-16 |
| 1629050596 | Paul Switlyk | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2005-11-16 |
| 1295717130 | Ira M Weintraub | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2005-11-16 |
| 1760464630 | Scott Jones | Orthopaedic Surgery | 1515 Nw 18th Ave, Suite 300, Portland, OR 97209-2515 | 2005-11-16 |
| 1790785632 | Douglas W Brown | Orthopaedic Surgery | 33 Sewall St, Portland, ME 04102-2603 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184893984 | Matthew T A Sugalski Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-02-26 |
| 1639176480 | Stanley L James | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2005-07-07 |
| 1346633294 | Deschutes Orthopedics, LLC | Orthopaedic Surgery | 1693 Sw Chandler Ave, Suite 250, Bend, OR 97702-3236 | 2015-03-16 |
| 1063822583 | Justin D Hudson | Orthopaedic Surgery | 600 Country Club Rd, Eugene, OR 97401-2240 | 2014-05-06 |
| 1750643060 | John C. Anderson, M.d., P.C. | Orthopaedic Surgery | 831 Nw Council Dr, Suite 130, Gresham, OR 97030-3721 | 2012-06-12 |
| 1811263635 | Micah B Naimark | Orthopaedic Surgery | 1303 Ne Cushing Dr Ste 100, Bend, OR 97701 | 2012-03-26 |
| 1437393949 | Jeffrey M Tuman | Orthopaedic Surgery | 55 Coburg Rd, Eugene, OR 97401-2433 | 2009-04-28 |
| 1225271133 | Milwaukie Orthopedic Service Inc | Orthopaedic Surgery | 10202 Se 32nd Ave, Suite 101, Milwaukie, OR 97222-3610 | 2009-04-08 |
| 1316103450 | Bret T Kean Md PC | Orthopaedic Surgery | 6542 Se Lake Road, Suite 201, Milwaukie, OR 97222-2237 | 2008-07-29 |
| 1083885040 | Karl R Knudsen Md PC | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2008-03-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.