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BANDON FAMILY MEDICINE, LLC
NPI 1124215736
Family Medicine in Bandon, OR

Active since September 27, 2007
475 ELMIRA AVE SE STE 201, BANDON, OR 97411(541) 329-1362(541) 329-1364 Get Directions Write a Review

NPPES record last updated: July 9, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bandon Family Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BANDON FAMILY MEDICINE, LLC (NPI 1124215736) is a healthcare organization registered as a family medicine in Bandon, Oregon and active in the NPI registry since September 2007. The organization lists Megan Marie Holland, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1124215736
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBANDON FAMILY MEDICINE, LLC
Location Address475 ELMIRA AVE SE STE 201Bandon, OR 97411-7409
Mailing Address475 Elmira Ave Se Ste 201Bandon, OR 97411-7409 · (541) 329-1362 · Fax (541) 329-1364
Phone(541) 329-1362
Fax(541) 329-1364
Organization SubpartNo
Authorized OfficialMegan Marie HollandSole Member · (541) 329-1362
Enumeration DateSeptember 27, 2007
Last NPPES UpdateJuly 9, 2009
✔ NPI 1124215736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OR · MD27591
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

475 ELMIRA AVE SE STE 201, Bandon, OR 97411
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Other Identifiers 3

Medicare PINR139080OR
Medicare UPINI42267
Medicaid244093OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bandon Family Medicine, LLC's NPI number?

The NPI number for Bandon Family Medicine, LLC is 1124215736. It was assigned to this organization in the NPPES registry on September 27, 2007.

Where is Bandon Family Medicine, LLC located?

Bandon Family Medicine, LLC is located at 475 Elmira Ave SE Ste 201, Bandon, OR 97411. The listed phone number is (541) 329-1362.

What is Bandon Family Medicine, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Bandon Family Medicine, LLC was last updated on July 9, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.