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KEVIN MICHAEL FICKENSCHER SR. M.D.
NPI 1750681391
Family Medicine in Bend, OR

Active since October 29, 2010
3499 NW BRAID DRIVE, BEND, OR 97701(415) 307-7358(415) 223-9383 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kevin Michael Fickenscher Sr. M.d. NPPES

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

KEVIN MICHAEL FICKENSCHER SR. M.D. (NPI 1750681391) is an individual family medicine provider in Bend, Oregon, licensed in California (G84904) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1750681391
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN MICHAEL FICKENSCHER SR.Credential: M.D.
Location Address3499 NW BRAID DRIVEBend, OR 97701-8682
Mailing Address7710 Woodmont Avenue, Suite 211Bethesda, MD 20814 · (415) 450-1515
Phone(415) 307-7358
Fax(415) 223-9383
Sole ProprietorYes
Enumeration DateOctober 29, 2010
Last NPPES UpdateMarch 7, 2023
✔ NPI 1750681391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G84904
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.
3499 NW BRAID DRIVE, Bend, OR 97701
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Other Identifiers 1

OtherG84904CA · California State Medical Board

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 Kevin Fickenscher's NPI number?

The NPI number for Kevin Fickenscher is 1750681391. It was assigned to this individual provider in the NPPES registry on October 29, 2010.

Where is Kevin Fickenscher located?

Kevin Fickenscher practices at 3499 NW Braid Drive, Bend, OR 97701. The listed phone number is (415) 307-7358.

What is Kevin Fickenscher'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 Kevin Fickenscher was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.