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DR. DAVID A. FREDSTROM M.D.
NPI 1285614792
Family Medicine in Bend, OR

Active since January 19, 2006
1247 NE MEDICAL CENTER DR, C, BEND, OR 97701(541) 318-4249(541) 312-5230 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. David A. Fredstrom M.d. NPPES

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

DR. DAVID A. FREDSTROM M.D. (NPI 1285614792) is an individual family medicine provider in Bend, Oregon, licensed in Oregon (MD08366) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1285614792
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. DAVID A. FREDSTROMCredential: M.D.
Location Address1247 NE MEDICAL CENTER DR, CBend, OR 97701-3786
Mailing Address1247 Ne Medical Center Dr, 3Bend, OR 97701-3786 · (541) 318-4249 · Fax (541) 312-5230
Phone(541) 318-4249
Fax(541) 312-5230
Sole ProprietorNo
Enumeration DateJanuary 19, 2006
Last NPPES UpdateJuly 12, 2010
✔ NPI 1285614792 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 · MD08366
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.
1247 NE MEDICAL CENTER DR, Bend, OR 97701
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Other Identifiers 3

Medicaid063347OR
Medicare UPINC91431OR
Medicare ID-Type Unspecified131675OR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WILLIAM B WIGNALL MD
Family Medicine
1247 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 318-4249
KEVIN RUETER M.D.
Family Medicine
1247 NE MEDICAL CENTER DR, SUITE 3
BEND, OR 97701
Deschutes County (541) 318-4249
DR. MIKE DANIEL HENDERSON D.O.
Internal Medicine
1247 NE MEDICAL CENTER DR
BEND, OR 97701
Deschutes County (541) 318-4249
MS. LAURA LYTTON HICKMOND N.P.
Nurse Practitioner (Women's Health)
1247 NE MEDICAL CENTER DR, SUITE C
BEND, OR 97701
Deschutes County (541) 318-4249

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 David Fredstrom's NPI number?

The NPI number for David Fredstrom is 1285614792. It was assigned to this individual provider in the NPPES registry on January 19, 2006.

Where is David Fredstrom located?

David Fredstrom practices at 1247 NE Medical Center Dr C, Bend, OR 97701. The listed phone number is (541) 318-4249.

What is David Fredstrom'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 David Fredstrom was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.