BEND NATIONAL VETERAN & DOT EXAM CENTER, LLC
NPI 1790639342
Clinic/Center in Columbus, OH

Active since February 23, 2026CLIA 36D2341081 · Waiver
3184 W BROAD ST STE D, COLUMBUS, OH 43204(614) 657-5157 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Bend National Veteran & Dot Exam Center, Llc NPPES

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

BEND NATIONAL VETERAN & DOT EXAM CENTER, LLC (NPI 1790639342) is a healthcare organization registered as a clinic/center in Columbus, Ohio and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 26, 2028 and lists Victorine Ankongbe Ndematebem, Cnp, as its authorized official.

NPPES Registry Identity

NPI1790639342
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBEND NATIONAL VETERAN & DOT EXAM CENTER, LLC
Location Address3184 W BROAD ST STE DColumbus, OH 43204-1327
Mailing Address735 Dugan Ridge Dr # ABlacklick, OH 43004-7124 · (614) 657-5157
Organization SubpartNo
Authorized OfficialVictorine Ankongbe NdematebemCnp · (614) 657-5157
Enumeration DateFebruary 23, 2026
Last NPPES UpdateAugust 12, 2026
NPPES CertifiedAugust 12, 2026
✔ NPI 1790639342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3184 W BROAD ST STE D, Columbus, OH 43204

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bend National Veteran & Dot Exam Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bend National Veteran & Dot Exam Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1548035637
3184 W BROAD ST STE D
Columbus, OH 43204
(614) 657-5157
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2341081

Bend National Veteran & Dot Exam Center · Columbus, OH
Active · expires Mar 26, 2028
CLIA Number36D2341081
Laboratory TypePhysician Office
Certificate Effective DateMarch 27, 2026
Certificate Expiration DateMarch 26, 2028
Laboratory DirectorVictorine A. Ndematebem
Laboratory Phone(614) 657-5157
Laboratory LocationBend National Veteran & Dot Exam Center3184 West Broad St Suite D, Columbus, OH 43204
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bend National Veteran & Dot Exam Center, LLC's NPI number?

The NPI number for Bend National Veteran & Dot Exam Center, LLC is 1790639342. It was assigned to this organization in the NPPES registry on February 23, 2026.

Where is Bend National Veteran & Dot Exam Center, LLC located?

Bend National Veteran & Dot Exam Center, LLC is located at 3184 W Broad St Ste D, Columbus, OH 43204. The listed phone number is (614) 657-5157.

What is Bend National Veteran & Dot Exam Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Bend National Veteran & Dot Exam Center, LLC enrolled in Medicare?

Yes. Bend National Veteran & Dot Exam Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bend National Veteran & Dot Exam Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Bend National Veteran & Dot Exam Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bend National Veteran & Dot Exam Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2341081) is associated with this NPI, valid through March 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bend National Veteran & Dot Exam Center, LLC was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.